Laserfiche WebLink
Page 2 of 5 <br />2. Updated Construction Schedule per Specification Section 01310, and <br />Dated December 20,2016 (CONTRACTOR — must be signed by <br />an Officer of the Corporation) <br />aniel L. M schwec , Vice President <br />Print Name and Title <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Daniel L. Muschweck, who being by me first duly sworn upon oath, says that he/she is the <br />Executive Vice President of the CONTRACTOR mentioned above and that he/she has been duly <br />authorized to act on behalf of it, and that he/she 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 swom to before <br />me this 20th day of December, 2016. <br />Daniel L. Muschweck is ersonally known to me r has produced as <br />identification. <br />NOTARY PUBLIC: <br />(SEAL) Printed name: Julie uettler <br />Commission No.:FF923607 JULIE J. GURT MER <br />Commission Expiration: 10/31/2019 <br />W COMMISSM 0 FF92W07 <br />EXPIRES October 31 2019 <br />Np/f rrl0+5.1 .ear <br />ik�ltir9rYr+fe>tiirte�t*+kinkdrYritYe�ielt+k+kk�klkikit**dik+kilnY�t+Yitytikitit�tititkiritleik9tk*9kklFieitk9t�kiHklb+t+k7ki�k+kik4eledr�t <br />[The remainder of this page was left blank intentionally] <br />Pay Application No. 12 <br />00622-2 <br />%MTRNS-PC\Lfwm\Ketns\DesldopTROJECT612015 ProjectMIRC Sidewalks 97th + 91stVnvoidng\Pey Appllcstion No. 12Way Application No. 12 Rev. OWI <br />i� <br />P78 <br />