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Page 3of6 <br /> SURETY ' S CONSENT OF PAYMENT TO CONTRACTOR : <br /> The Surety , <br /> corporation , in accordance with Public Construction Bond Numbera <br /> hereb <br /> consents to payment by the OWNER to the CONTRACTOR , for the amounts specified my <br /> this CONTRACTOR ' s APPLICATION FOR PAYMENT , <br /> TO BE EXECUTED BY CORPORATE SURETY: <br /> Attest : <br /> Secretary Corporate Surety <br /> Business Address <br /> BY : <br /> Print Name : <br /> Title : <br /> STATE OF FLORIDA (Affix Corporate SEAL) <br /> COUNTY OF INDIAN RIVER <br /> Before me , a Notary Public , duly commissioned , qualified , and acting , personally appeared <br /> to me well known or who produced <br /> as identification , who being by me first duly sworn <br /> upon oath , says that he/she is the for <br /> and that he/she has been authorized by it to approve payment <br /> by the OWNER to the CONTRACTOR of the foregoing Contractor' s Application for <br /> Payment . Subscribed and sworn to before me this day of <br /> 20 <br /> Notary Public , State of <br /> My Commission Expires : <br /> [The remainder of this page was left blank intentionally] <br /> 00622 - Contractor' s Application for Payment - 03- 10 rev. doc <br /> 00622 . 3 <br /> F: 1Public Works\ENGINEERING DIVISION PROJECTS\1142-Misc Culvert Replacements\Admim\bid documents\00622 - Contractor' <br /> 05/01 s Application for Payment - 03- 10 rev doc Rev. <br />