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-- Page 2 of 5 <br />2. Updated Construction Schedule per Spe ,iftcation Section 01390, and <br />Dated 08/02/2016 By: <br />(CONTRA R — m t be signed by <br />an Officer dOhe Corporation) <br />MARGARET FENTON, VICE PRESIDENT <br />Print Name and Title <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Before me, a Notary Public, duly commisstined, qualified, and acting, personally appeared <br />-- <br />MARGARETFENTON ' <br />who being by -me first duly sworn upon oath, says that he/she is theVICE PRESIDENT _ of the CONTRACTOR mentioned above and that he/she has been duly <br />authorized to act on behalf of it, and that he/sloe executed the above Contractor's Application for <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 02 day of AUGUST 12016 <br />MARGARET FENTON is <br />(SEAL) <br />w � <br />personally known to me or has produced <br />s t en i tca io . <br />NOTARY PUBLIC: •� Qin LJ�- �vv <br />meted name: <br />FRANKIE TAYLOR <br />— -Nolary Pub11"Ute af#Iarida <br />My Comm, Expires Feb 20, 2019 <br />Commission N FF 171243 <br />;�t•r <br />9=dtlro ohfto lNGtWAssn. <br />Commission Expiration: <br />[The remainder of this p4ge was left blank intentionally] <br />00622 - Contractor's Application for Payment - 03-10 rev <br />00622-2 <br />F'Pobft WwWENGINEEAING OhMON PROJECM150S.W.M NeigWwhood 45th $t 8aeu4dirMw AdrrdnWd doa wtslMaster Cwi bm o*wmm16100522 - CoM a=r5 <br />Ap01aat1onforP2ymen1-03.10rev-tlot PAW 05101 <br />P25 <br />