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STATUTORY <br />WAIVER OF RIGHT TO CLAIM <br />AGAINST THE PUBLIC PROJECT <br />PAYMENT BOND <br />MNAL PAYMENT) <br />The undersigned, in consideration of the final payment in the amount of <br />$146, to % *). , 12, , 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 Avenue Intersection Improvements <br />IRC Project No: 1422 <br />IRC Bid No: 2014049 <br />Bond Number 2lBCSFY3564 <br />And Further Described in Bond Recorded in or <br />Bk: 2849, Page 1664 <br />Indian River County, FL <br />0mc.41 toc%Ql- <br />Dated on -6-12-1C, <br />Company Name: j <br />By: <br />Printed Name: J O 'Ee ?r, rC, <br />Title: 'DC f:'L-) <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 />�'-& -� Y Y lY <br />o Pubic, State of Florida at Large <br />or <br />Seal) <br />LIUZELEINA MORN <br />PLOUG <br />L4{ FfFFf <br />x`.411.,, <br />`f �... t rYti3`J W'2(1 -2c'16 <br />?i£ <br />101 <br />