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06/02/2816 17:25 7724618039 GUETTLER PAGE 02/82 <br />STATUTORY <br />WAIVER OF RIGHT TO CLAIM <br />AGAINST THE PUBLIC PROJECT <br />PAYNOM BOND <br />(FINAL PAYMENT) <br />The undersigned, in eonsideradon of the final payment in the amount of <br />$ AD. D D , hereby waives its right to claim against the payment bond for <br />labor, services, or materials f rraished.to Guettler Brothers Construction, LLC- on tate job <br />of Indian River County Board of County Cormmissiouers, for improvements to the <br />following described project <br />Avlatlon Boulevard imd 2& Aveaue ratersection Improvements <br />IRC Project No: 1422 <br />- IRC Bid No: 2014049 <br />Bond Number 21 BCSFY3564 <br />And Further Ascribed in Bond Recorded in or <br />Bk: 2849, Pago 1664 <br />Indian River County, FL <br />Dated on <br />Company Name: �C �1N011SI?'YLrSi, <br />SIJC <br />By: '7tsi <br />Printed Name: <br />Title: T ✓�51 /�� n"` <br />Must be a Corporate Officer, President, Vice President, Secretary, Treasurer or a letter of <br />authorization must be attached that is sigW by a Corporate Officer listing the authorized <br />sigtlers, . <br />sworn to and aaknowAged before me the day and year vyritten above. <br />V ' 4e N Notary Public Stale of Florida <br />'IIb0I State of Fl rida at Large Margie A Johnson <br />Seal) �a„ l% Fxr cess OW2my is 412017slon FF 042689 - <br />"i <br />