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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br /> The Surety, <br /> , a <br /> corporation,-in accordance with Public Construction Bond Number , hereby <br /> consents to payment by the OWNER.to the CONTRACTOR,_for-the.amounts specified in <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 /> •(Affix;`Corporate SEAL) <br /> STATES 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 or-who, produced <br /> as identification; Who being by me first--"duly.sworn <br /> upon: oath, says, that he/she is the, for <br /> r 'and that"he%she has been authoeized.byy Jit to"approve payment <br /> by the' OWNER to 'ttie CONTRACTOR. of -the. foregoing Contractor's Application for <br /> Payment., Subscribed and' `sworn to before "me this day of <br /> ..2Q <br /> iNotary:Public,"State of <br /> 'My Commission Expires` <br /> [The remainder'--of this page Was.left:blank,intentionally]° <br /> 00622.:Contfactoes,Application"for Payment•-03-10•rev <br /> 00622-3 <br /> F:1Pub4c WorIk IiRGINEERING DIVISION PROJECTSJI 3i6 .R:C:66ne Transfer HtlbtAdmir6id documentsWaster Contract Docume6ts100622=Contiacto s Application for <br /> 'Payment-t33=117rev.docRev:05/t)L` _ '- »•°"• ^-" - •-- ••-•:_ . ' <br />