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SCOTTY'S, INC. _
Loan No. , Florida
AFFIDAVIT ~ WAIVER OF LIEN (City)
' ~ Date
PAYMENT ~ FARTIAL ~ FINAL
3 JT Amt . Paid
OWNER CONTRACTOR '
.Scotty's, Inc_. having-furnished building materials in the construction, alteration
or improvement_of the build`i'ng or build s located at:
STREET ADDRESS : ~9 Q.~ Y uCC~ GL Y~, ?e
LEGAL DESCRIPTION : i..o~' z..j, B/oCk q ~ 1'nd, Rr
ve r ~ u ~ 1 ~
~o~~~y, d~
Recorded in Plat Book 30 ~
,page of the Public Records of .
(County) , Florida, do hereby, in consideration of the. pa at" ~
to us of the sum listed above release and discharge any claim,. lien or otherirl' ~
which we might have against the above described property, we having been paid .
sx u
flotu11 Public. SUte of Ronda"~'
to the date of this Affidavit ~ Waiver of Lien. - fJh (pwmiss'wn D¢c. 1;`19tS~.="••-''~
twdrd N ~ F ~ •
AUTHORIZED SIGNATURE"
CR-16 _
- ~9~9 25 i t ~ 3
- F1LE0 ANO RECOROEU
ST.LUCIE COUNTY fLA•
ROGER POITRAS
CLERK CIRCUIT COUR~
'RECORD YERIf1E0~
4s?023'7
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