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Summit Construction of Vero Beach, LLC <br />2137 Flight Safety Drive <br />Vero Beech, FL 32960 <br />FINAL WAIVER AND RELEASE OF LIEN OR CLAIM AGAINST BOND <br />The undersigned, la consideration of the FINAL paym.M In the amount o1 S1224.17 <br />hereby waives and releases Its lien and right to claim a lien for labor, services or <br />materials furnished through III1/2121,4 to Construction of Vero LL to <br />the following property_ <br />GIFFORD BALLFIELDS IMPROVEMENTS <br />4715 43RO AVENUE, VERO BEACH, FL 32960 <br />This waiver and release does not cover say retention of labor, services or materials <br />furnished after the date spedited. <br />iienor's Name_ MANNING ELECTRIC OF <br />VERO BEACH, INC, <br />Signature <br />t1/,� \1I2 <br />Date Title <br />State of Florida <br />County of ( ta'v Q., vex <br />The foregoing instrument was acknowledged before me this 1 2__ day of VO &CCte- <br />2035 by f ra n who�l k 1urnistied the <br />following Identification <br />. '`;:.' •`:,°�F CHRISTY SHULHAN <br />Seal � * MY COMMISSION I FF 135252 a_.0,-- qrtc <br />EXPIRES: October 21, 2018 Notary puc <br />+�'',or rod'`~ Banded Taro Budges Miry Services <br />My commission expires: <br />Note: This Is a statutory farm presalbed by Section 713.21 Ronda Statutes 119961. Etedswe October 1. <br />1996, a person may not require a honor to furnish a waiver d release that Is different tram the statutory <br />form. <br />148 <br />