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TO BE EXECUTED BY CORPORATE SURETY : <br /> Attest : <br /> Secretary Corporate Surety <br /> Business Address <br /> BY : <br /> ( Affix Corporate SEAL ) <br /> Attorney- In - Fact <br /> Name of Local Agency <br /> Business Address <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> Before me , a Notary Public , duly commissioned , qualified and acting , personally appeared <br /> to me well known , who being by me first duly sworn <br /> upon oath , says that he is the attorney- in -fact for the and <br /> that he has been authorized by to execute the <br /> foregoing bond on behalf of the CONTRACTOR named therein in favor of the County of Indian <br /> River , Florida . Subscribed and sworn to before me this day of <br /> 20 <br /> r <br /> Notary Public , State of Florida <br /> My Commission Expires : <br /> L <br /> ILil <br /> * * END OF SECTION <br /> 00612 - Payment Bond REV 04-07 . doc <br /> 00612 - 5 <br /> FAEngineering\Special Projects\Eagle Trace Phase Monlract Documents\Eagle Trace Subdivision Phase IR00612 - Payment Bond REV 04-07.doc Rev. 05/01 <br />