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2. Updated Construction Schedule per Specification Sectio <br />Dated oc-% 36 <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />By: <br />1310, and <br />(CONTRACTOR – must signed by <br />an Officer of the Corporation) <br />Print Name and Title <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />, who being by me first duly sworn upon oath, says that he/she is the VV/cc 0 n - of <br />the CONTRACTOR mentioned above and that he/she has been duly authorized to act on behalf of <br />it, and that he/she executed the above Contractor's Application for Payment and Contractor's <br />Certification statement on behalf of said CONTRACTOR; and that all of the statements contained <br />herein,re true, correct, and complete. Subscribed and sworn to before me this ' day of <br />,20/i . <br />;,/,<'-'-;-"tCp rt <br />is _personally known to me or has produced <br />as identification. <br />NOTARY PUBLIC: <br />(SEAL) Printed name: <br />2o,►R;.°uez. LARISADITU PRICEY <br />•MY COMMISSION I FF 056341 <br />EXPIRES: January 22, 2018 <br />BondedThru&;dgelNotary Services <br />Commission No.: - c 34-/ <br />Commission Expiration: <br />[The remainder of this page was left blank intentionally] <br />21158-00622 - Contractor's Application for Payment No 3F <br />00622 - 2 <br />H:\EXCEL\CURRENT JOBS - 200'S\21158-00622 - Contractors Application for Payment No 3F.docx Rev. 05/01 <br />41 <br />