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2. Updated Construction Schedule per Specification Section 01310 <br />Dated 6/2qb "7 <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />NTRACTOR-must be signed by <br />fficer of the CorporAO- <br />tion) <br />sO <br />� rd <br />fC C 11,__ <br />Print Name and Title <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />r ---I n/ 5/(< ! , who being by me first duly sworn upon oath, says that he/she is the <br />/�T44c�i7C, 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 sworn to before <br />me this2s4 day of Jade- , 20 /7 - <br />.1 -ryr/ / /i 3 is personally known to me or has produced <br />as identification. <br />NOTARY PUBLIC: /l ait.ec›.._-/.�. <br />(SEAL) Printed name: %Yitz,04/ /1. 7zz 7< <br />• <br />AMRION H. TUPB( <br />MY COMMISSION # FF 973380 <br />WIRES: Juy 21, 2020 <br />Bonded ileo Notary PuMc UndMwdlen <br />Aril/ • <br />♦/r <br />Please remit payment to: <br />Contractor's Name: <br />Address: <br />Commission No.: 97.33 <br />Commission Expiration: 7/2./AD <br />**************************************************************************************************** <br />[The remainder of this page was left blank intentionally] <br />00622-2 <br />F:1Public Works\ENGINEERING DIVISION PROJECTS11330-I.R.C. Goline Transfer Hub \Adminlbld documents\Master Contract Documents 100622- Contractos Application for <br />Payment- 03-10 rev.doc Rev. 05/01 <br />00622 - Contractor's Application for Payment - 03-10 rev <br />P47 <br />