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RELEASE OF ALL CLAIMS

Claim # 30130128081-0001

The undersigned Carolyn Parker for payment of Twelve Hundred dollars ($1,200.00) and other good and valuable consideration receipt of which is hereby acknowledged, on behalf of themselves, heirs, executors, administrators, successors, assigns and all other persons or entities who could make a claim through the undersigned, does hereby release, acquit and forever discharge Lowes, Lowes Companies, Inc., Lowes Home Centers, Inc., Lowes HIW, Inc., any and all subsidiaries, and any and all of their employees, servants, agents, successors, heirs, executors, officers, directors, shareholders and administrators (herein after referred to as Released Parties) from any and all claims of liability, damages, and/or demands for any future consideration in any way related to, or arising out of an incident that occurred on November 26th, 2012 involving Lowes Store 0520 in Arlington, TX. This settlement consists of a check in the amount of $1,200. The undersigned affirmatively represents that he/she has full authority to execute this Release. The undersigned agrees that the consideration given by Lowes as settlement is the compromise of disputed claims and that the payment made hereunder is not to be construed as an admission of liability on the part of the party or parties hereby released, by whom liability is expressly denied. The undersigned and his/her subsidiaries, affiliates, beneficiaries, heirs, assignees and assigns and attorneys, if any, agree that the amount of consideration recited in this Release as well as the alleged facts giving rise to the undersigneds claims shall remain confidential and shall not be shared with any third-party, including, but not limited to, any media outlet or public forum. A breach of this confidentiality provision is a material breach of this agreement with liquidated damages equal to the amount provided to the undersigned in exchange for this Release. The undersigned agrees to indemnify and save harmless Released Parties from all further claims or demands, liens, cost or expense arising out of the injuries or damage sustained by me/us. It is expressly warranted that the undersigned(s) has/have paid or will be solely responsible for the payment of any and all past, present and future expenses, including expenses for medical services, hospital charges and liens, Medicare and Medicaid liens, or other governmental liens, doctors services, drugs and medicine, arising out of the Claim. The Undersigned shall be responsible for all subrogation or payments due, and will indemnify and hold harmless the Released Parties arising out of said accident. It is further agreed that in the event other parties are responsible to me/us for damages as a result of theses accidents/incidents, the execution of this agreement shall operate as a satisfaction of my/our claim against such other parties to the extent of the pro rata share of the parties herein released. The undersigned affirmatively represents that no promise, inducement or agreement not contained herein has been made to the undersigned, and that this Release contains the entire agreement between the parties hereto, and that the terms of this Release are contractual and not a mere recital. THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY UNDERSTANDS IT. Intending to be legally bound hereby, and signed this ____ day of ____________, 201__. CAUTION: READ BEFORE SIGNING Signed Witness Address

Witness

Address

State of County of On this that day of 20 , before me personally appeared

. To me known to be the person described herein, and who executed the foregoing instrument, and acknowledged voluntarily executed the same.

Notary Public

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