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"' 2. Updated Construction Schedule per Specification Section 01310, and <br />COUNTY <br />I <br />Payment and Contractor's Certification statement on behalf of said CONTRACTOR; and that all of <br />the statements contained herein are true, correct, and complete. Subscribed and sworn to before <br />me this ' _ day of j 1, 20 <br />. - produced <br />L. <br />(SEAL) ��,jas5ioy� • ''� Printed name: _ �• CkuR <br />Qi119,2p 9• �r. <br />Commission Na.: <br />#EE is41sa on: Commission ExpiratiI tv <br />A `. ` <br />pA �' `hr aL:1i1C U`:Al2 �� yr <br />tee. <br />#*#*#3t##*#*7k7ht'#*#ir*'ic****d'sk###*�i#1Y'**11rritik�Snkdrk***�r#*7kk*&##•Ir#***�@#**##a�n�itir�itiHt**it*'7k <br />[The remainder of this page was left blank intentionally] <br />00622 Contractor's Application for Payment - 03-10 rev.doc <br />_•_ •.._ ...: .........n..n.n.r oon r�r-r-cn. »ri-r+o ce 1 ea...a nom.. ts.a..,. 0-1-1 RA to Faso St -SEE PROJ D225{AdI im%Contmct D=mentsW 672 - Conkpttoes 24 <br />SmeadSoft Reprint Date: Wednesday, December 14, 2016 - 11:52:28 - BCC:1826, Attachment Id 1, Page 24 <br />