HomeMy WebLinkAboutInv# PAY APP 5 FINAL - MILLS ELECTRIC SERVICE - 11/26/2024 (2)WAIVER AND RELEASE OF LIEN AND CLAIMS UPON FINAL PAYMENT
The undersigned lienor, in consideration of the final payment in the amount of $ hereby waives and releases its lien
and right to claim a lien, as well as any and all other claims, for labor, services, or materials furnished to MILLS
ELECTRIC SERVICE, INC. on the job of the following described property:
In addition, and in consideration of the foregoing payment, the undersigned lienor hereby waives and releases any and all other claims
arising from, related to and/or in any way connected with labor, services and materials furnished on the above-referenced property
Dated this day of , 20 .
By:
Print Name:
Title:
The foregoing instrument was acknowledged before me this day of , 20 , by
, as of on
behalf of the corporation. He/She is personally known to me or has produced as identification.
NOTARY PUBLIC - State of Florida
My commission expires:
Job Name and Location
119,812.26
16 January 25
James Stubblefield
President
16
James Stubblefield
January 25
President Mills Electric Service Inc
City of Dania Beach
Solar Panel Light Replacement