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KNOW ALL MF.\ I3Y THES~; YR~SEIVTS: That the undcrsig~ed, tor an~l it~ consicteration oC th~•
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P~Ld by ChC F i-j~z•~;- n`' F, ~?~_Int: r`pr:_~ ~;r,IC±:.~±,. ^p,
rec.eipt of which i~:
hereby acknowledged, hereF • releasea and quit claims to t~ ~ szid
. }'~1~:V ^.7r'C~~,r~a~.~-~/~r ~/1• ~ •
~ ~ its successors .~IId assigns ~ the OGrner, .j i;
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licns~ lien rights, claims or demande of any kind Whatsoever, whicli the undersignes
noW has or might have egainst the building on premises legally described as
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i on aCCOUnt of labor per=."ormed and/or ma*~rial furnishe' tor the cotistruction of any
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; improvements thereon. That all labor and s~aterials used '~y the undergigned in thc
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~ erection of ~taid improvemrnts have been full~r paid for. 'lhe undersignec: certifiea
th~t all texes imposed by Chlpter 212, Florida Statutes (Sales and Use Tax Act)
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~ as amended, have been paid and discharged.
IN WITNESS WHEREOF, I have hereur.to set r~-f hand and seal this 'r`~ day of
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WI1'Nf;SSES:
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~ ~ rn~r~ OF FLORIDA , "
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COUNTY OF T , ~ ss
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~Y~ I hereby ackn~Wledge that the atace:~c~nts containe.. in the for~going Rele.:se
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~r oi Lien are true end correct. ~
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~ `;worn to and eubecribed before me thie~ <r,~ y~
day of Ta~,~~~(
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~ Notary PishLi~, jL, St8 p'~ ~ orid.~ at Larb~~
, r~y conutiis~~pit•.~,i~irtc~;•.
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~ S~,_,r NOTAItY PI~.^.t~~!4Y.1~I~F~.~ ~fi~!~:iJ" ~T 1 ARGE
> EAI.) ~ • 387 MY COt!N4iSSiDN E'XFtRES O^T 8. 19~5
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