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FINAL WAIVER AND RELEASE OF LIEN <br />The undersigned lienor, in consideration of the final payment in the amount of $10.00, hereby waives <br />and releases its lien and right to claim a lien for labor, services, or materials furnished to Kempfs' Site <br />Development, Inc.to the following described property: <br />Gifford Park Ballfields <br />4715 43rd Avenue <br />Indian River County, FL <br />Dated N , 2014. <br />Llenor's Name: Volvo Const. Equipment Printed Name: <br />Address: 3120 NW 16th Terrace Signature: C-171 —)' <br />City/State/Zip: Pompano Bch., FL 33064 <br />STATE OF: PC' <br />COUNTY OF: , Lc rG;e <br />Sworn to and subscribed before me <br />has produced <br />by i)f9rvic? 5 6/I i l / py //-4day <br />is either personally known to me or <br />, as identification on this _t day of Ls u,� J- , 2014. <br />Notary <br />,iV • Notary Public State of Florida <br />• Fred R Parker Jr <br />067 yCommission xpires 04116 017FF 008623 <br />E <br />My Commission Expires: <br />NOTE: This is a statutory Form prescribed by 713.20 Florida Statutes (1996). Effective October 1,1996 a person may not require lienor to furnish a waiver or <br />release of lien that Is different from the statutory form. <br />140 <br />