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Page 2 of 6 <br /> 2. Updated Construction Schedule per Specification Section 01310,and <br /> Dated 04/24/13 By. <br /> (CONTRACTOR ust be signed by <br /> an Officer of the Corporation) <br /> F.Scott Fowler-Vice President of Operations <br /> Print Name and Title <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> Before me a Notary Public, duly commissioned, qualified, and acting, personally appeared <br /> F.Scott Fowler , who being by me first duly sworn upon oath, says that he/she is the <br /> Vice President of Operations of the CONTRACTOR mentioned above and that he/she has been duly <br /> authorized to act on behalf of it, and that he/she executed the above Contractor's Application for <br /> Payment and Contractor's Certification statement on behalf of said CONTRACTOR; and that all of <br /> the statements contained herein are true, correct, and complete. Subscribed and sworn to before <br /> me this 24 day of April ,2013 . <br /> F.Scott Fowler is personally known to me or has produced <br /> as identification. <br /> � ytl�BAq��1i,G NOTARY PUBLIC: AL) <br /> `��5�1. ..... 8F ,�� <br /> (SEAL) :�coa s '; Printed name: Stacy L. Ber <br /> *• :* Commission No.: EE 154184 <br /> NEE 154184 o Commission Expiration: 04/19/16 <br /> t►iAi�i <br /> [The remainder of this page was left blank intentionally] <br /> 00622-Contradoes Application for Payment-03-10 rev.doc <br /> 00622-2 <br /> F:Wubic WMcs1ENGNEERING ONISION PROJECTS MI-271h Ave at Sth St SW%AdrtimlCw*ad D=ffm 10M-Cmtre*es ApOcation for Paym*rA-03-10 rev.doc Rev. <br /> MAI <br /> 70 <br />