HomeMy WebLinkAboutInv# APP 12 - Kailas Corp. - 11/06/2023 (4)WAIVER AND PARTIAL RELEASE OF LIEN
I couDrrror{AL
The undersigned lienor, in consideration of the progress payment in the amount of
$35,132.61 hereby waives and releases its lien and right to claim lien of labor, services or
materials fumished through l0l13l23 to City,of Dania Beach (Owned on the projeci SW
43 Terrace Stonrnryabr lmprcvemenB at the following property:
Proiect Location: SW 43 Terrace from Stftl 54s Street to SW 48t Couil, Dania Beach,
Bromrd Counttr, FL
The waiver and release does not eover any retention of labor, services and/or materials
furnished after the date specified. lf this is a conditional final waiver and release of lien,
then it is conditioned upon payment of the consideration described above and it is not
effecfive untilsaid payrnent is received in paid funds.
Dated on NrvcN\hea ta -, 2o-ag-.
Lienor's name: l(All-AS CORP,
Address: P.O BOX 552098
DAVTE. FL 33355
By: JORGE PAZ / PRESIDENT
STATE OF FLORIDA
GOUNTY OF BROWARD
I hereby acknowledge that the statements contained in the foregoing rclease of lien are
true and correct.
Sworn to and subscribed before me this tt day of f(OYe{rd0,e,v , 20l_$,.
CLAUDI,A BERT{AL
Notary Publlc
Sbte of Florlda
CommfHH200039
Exdres LULUZO?IS
Signature:t-I-q'ucqlG nC- --
Printed Name:
Note: Thb b a statr.rtory furm prescribed by s€ction 713.20, Florida SIahrEs (1$)G). Effective Octder 11 1996; a person may
not require a lienor to fumish a waiver or release of lien that is different from the statutory form.