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Okaloosa County BOCC — December 18, 2012 — Contractor's Release of Liens — reading text
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We, the undersigned Contractor, having performed labor or furnished materials or services in the
construction, alteration, or improvement of real property described as:
Design Build of a New County Extension Building
located at 3098 Airport Road, Crestview,
Will release and discharge any claim, lien 0
above described property through \V\ (L
(Date)
All parties performing labor, furnishing materials or services on the site of the improvement
through us have been paid in full to this date.
Contract No. C1 1=1914-CE
STATE OF: FLORIDA
COUNTY OF: Okaloosa County
Subscribed and Swern to before me this
‘ AUR
\p , _ day of SS) in
Notary P Public State of UN UAW
My Commission Expires: A2 "bo
SHAWNA M HUGHES
MY COMMISSION # EE 163455
EXPIRES March 27, 2016
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