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STATUTORY <br />WAIVER OF RIGHT TO CLAIM <br />AGAINST THE PUBLIC PROJECT <br />PAYMENT BOND <br />(FINAL PAYMMM <br />The undersigned, in consideration of the final payment in the amount of <br />$ <br />10 , hereby waives its right to claim against the payment bond for <br />labor, services, or materials furnished to Guettler Brothers Construction, LLC on the job <br />of Indian River County Board of County Commissioners, for improvements to the <br />following described project: <br />Aviation Boulevard and 20'x' Avenue Intersection Improvements <br />TRC Project No: 1422 <br />IRC Bid No: 2014049 <br />Bond Number 21 BCSFY3564 <br />And Further Deserlbed in Bond Recorded in or <br />Bk: 2849, Page 1664 <br />Indian River County, FL <br />Dated on \ > I d <br />Company Name: '?&I M e, j"j 1r� rA P_ 0 fF TtL M P oK. <br />By <br />Printed Name:` <br />Title: . <br />Must be a Corporate Officer, President, Vice President, Secretary, Treasurer or a letter of <br />authorization must be attached that is signed by a Corporate Officer listing the authorized <br />signers. <br />Subscribed, sworn to and acknowledged before me the day and year written above. <br />�/o GL. 4v,�- NNt,� - I <br />Notary Public, S e of Florida at Large 1 XaLY WE:OW7 <br />(Notary Seal) ►�+ ! F`EESe ptembe7Bdd 71.. M PJ Aon <br />98 <br />