Queen Roofing Company
RELEASE OF LI EN
KNOW ALL MEN BY THESE PRESENTS:
,I
That the undersigned, for and in consideration of, the payment of the
contract price paid by the City of Clermont, hereby releases the quit claims to
the said City of Clermont, its successors and assigns, and City of Clermont, the
owner, all liens, lien rights, claims or demands of any kind whatsoever, which
the undersigned now has or might have against the building on premises legally
described as Lots 11 .12 .13. & N 10' of Lots 14 & 15
City Block 76
on account of labor performed and/or material furnished for the construction of
any improvements thereon. That all labor and materials used by the undersigned
in the erection of said improvements have been fully paid for as stipulated in
the contract.
This release is exercised in consideration of the sum of $
$4988.00 , receipt of which is hereby acknowledged, which is the full
consideration due under the contract numbered and dated
day of
IN WITNESS WHEREOF, I have hereunto set my hand seal this 25th
February , 19 77 .
Wi tnesses :
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QUEEN ROOFING COMPANY
(seal)
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State of Fl9fi~a
County of ~
3 ss
I hereby acknowledge that the statements contained in the foregoing
Release of Lien are true and correct.
rt
d..t) -
day of
Sworn to and subscribed before me this
JpjAM~ ' 192Z...
~ commission expires:
NOTARY PUBliC STA~ OF FLORIIJA t.1lARu
1ND~~ COMMISSION EXPIRES MAR. 16 19n .
., T."'m Q1;.NI!R^L ItlSl:lfVJ.C[ t;'~~OKVI'K'
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Notary Pu , c
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