HomeMy WebLinkAboutProperty_Lien_04/28/1998 . _ ___ _. _
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RECflRD AND RETURN TO:
JOHI� C. RANDOLPH, ESQUIRE
Jones, Foster, Johnston & Stubbs, P.A.
Post Office Box 3475
West Palm Beach, Florida,�3402-3475
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WILL CALL #85
Wf1IVER OF LIEN w
KNO W A�L MEN BY THESE PRESENTS: That I, the unde�signed,
W.G.11�lills, Inc
for and in conside��atzon of Ten and no/100 Dollars ($10. 00) and other good cznd valuable consideration,
to me paid, the �•eceipt whereof is hereby ackraowledged, do hereby waive, �elease, remise and relinquish
ayry and all right to ciccim arry lien or liefzs for work dorae or mccteYic�l furnished, or aray kind or class o, f'lien
whatsoever on the following described property:
T�ater dist�•ibutio`a system as desc�•ibed in attached Exhzbit "A ".
located at the Sterling House II
211 Village Blvd Tequestcc, Fl
Title owner of said p�opeYty: Stef•ling House C�� poration
Signed, sealed and dated this -> '= day of 19 at -
Sigyzed in the presence of.•
Mills, I .
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, - By > �C �a � ��.�_� �,�
Witrzess B��anch Manager �
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a
State o f' Florada }
County of Indian Rivef°
On 4-28-98 be CHRISTINA SCHAEFER
appeaYed DALE A, PIERCE
pe��sonally known to yne (oY proved to me on the basis of satisfacto�y evideyzce) to be the person(s) whose
name(s) is/a�e subscribed to the within instrument and acknowledged to me that he lshelthey executed the
same in hislhe�ItheiY authorized capacity(ies), and that by hisiher!their signature(s) on the instrument
the pe�son(s), o�• the entity z�pon behalf of which the person(s) acted, executed the instrument.
T�YITNESS my hand ccnd offieial seal.
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Signature � �
Signature o f Nota�y Affiant Known�� Produeed ID
Type of ID 1�� zD � ` Ct � - � � �'���1 'O
� (Seal)
CHRISTIKA SCHAEFER
Piotary Pubfic, Siaze of Fiorida
My Comm. Expires FEB. 02,2001
I Comm. No. CC618220
'P�rtonaly Known or Produced I.D.
LIEN. 4/28/98
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STERLING HOUSE, TEQUESTA, FL
EXHIBIT "A"
WATER SYSTEM
SCHEDULE OF VALUES
Discription Quanity Unit Cost Total Cost
Water Tap 1 EA 650.00 $ 650.00
6" DIP 90 LF 15.00 g 9.350.OQ
10" DIP 480 LF 21.00 $ 10,080.00
10" Gate Valve & Box 2 EA 775.00 $ 1,550.00
Sample Point 2 EA 240.00 $ 480.00
Fire Hydrant Assembly 1 EA 1660.00 $ 1,660.00
Relocate Fire Hydrant 1 EA 1200.00 $ 1,200.00
6" Double Check Valve 1 EA 3200.00 $ 3,200.00
6" Fire Department Connection 1 EA 1100.00 $ 1,100.00
Blow-off 1 EA 500.00 $ 500.00
2 1/2" Water Service 1 EA 1200.00 $ 1,200.00
TOTAL COST OF WATER SERVICE $ 22,970.00
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4/22/98 9:04 AM DAP TEQUTILA.XLS
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