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2014-04-04 09:40 <br />WESTSIDE WELDING 7725648841 » <br />Summit Construction of Vero Beach, LLC <br />2837 Flight Safety Drive <br />Vero Beach, FL 32960 <br />FINAL WAIVER AND RELEASE OF LIEN OR CLAIM AGAINST BOND <br />The undersigned, in consideration of the FINAL payment in the amount of 5320.00 <br />hereby waives and releases its lien and right to claim a lien for labor, services or <br />materials furnished through 3/25/2014 to Summit Con tructlon of Vero Beach, LLC to <br />the following property: <br />GIFFORD BALLFIELDS IMPROVEMENTS <br />4715 43RD AVENUE, VERO BEACH, FL 32960 <br />This waiver and release does not cover any retention of labor, services or materials <br />furnished after the date specified. <br />Date <br />State of Florida <br />County of v16L4i1". 2.wC <br />Lienor's Name: WESTSIDE WELDING, INC. <br />Signature <br />Title <br />The foregoing instrument was acknowledged before me this 7 d y of <br />, 2014 by VW C,C l& ►/V(&J f,,, who i7,pfrionally knowh or furnished the <br />following identification <br />Nii Notary Public State of Florida <br />4Y. Christy Shulhan <br />J. My Commission EE017547 <br />wn Expires 10/21/2014 <br />My commission expires: <br />e_e_M <br />Notary Pub'li <br />Note: This is a statutory form prescribed by Section 713.2, Florida Statutes (1996). Effective October 1, <br />1996, a person may not require a lienor to furnish a waiver of release that is different from the statutory <br />form. <br />P 1/1 <br />147 <br />