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2016-045C
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2016-045C
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Last modified
8/4/2016 9:23:50 AM
Creation date
8/4/2016 9:23:47 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/22/2016
Control Number
2016-045C
Agenda Item Number
8.J.
Entity Name
Atelier Architecture Engineering Construction
Subject
Services Consultant
Archie Smith Fish House Dock Restoration
Phase IIA
Florida Inland Navigation District Project
Area
1740 N.Indian River Drive Sebastian
Project Number
IR-15-62
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EXHIBIT E <br /> FLORIDA INLAND NAVIGATION DISTRICT <br /> ASSISTANCE PROGRAM <br /> Project Completion Certification <br /> hap://www.aicw.org/closeout wap jsp <br /> Sponsor: <br /> Project Title: Project #: <br /> I hereby certify that the above referenced project was completed in accordance with <br /> the Assistance Program Project Agreement between the Florida Inland Navigation District <br /> and , dated <br /> , 20 , and that all funds were expended in accordance with <br /> Exhibit "A" and Paragraph 1 of the Project Agreement. <br /> Project Liaison Name: <br /> Project Liaison Signature: <br /> Date: <br /> *S. 837.06 Florida Statutes, False official statements. - Whoever knowingly makes a false <br /> statement in writing with the intent to mislead a public servant in the performance of his or <br /> her official duty shall be guilty of a misdemeanor of the second degree, punishable as <br /> provided in s. 775.082 or s. 775.083 F.S. <br /> FIND Form No. 90-13 <br /> (Effective Date: 12-17-90, Revised 7-30-02) <br />
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