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2 Updated Construction Schedule per Specification Section 01310, and; <br />Dated to , Al • 1 <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Greg Hampton - Controller <br />Print Name and Title <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Y O G.w. j } G n , who being by me first duly sworn upon oath, says that he/she is the <br />('.ftY kkr v^ of the CONTRACTOR mentioned above and that he/she has-been duly authorized to act <br />on behalf of it, and that he/she executed the above Contractor's Application for Payment and Contractor's <br />Certification statement on behalf of said CONTRACTOR; and that all of the statements contained herein are true, <br />correct, and complete. Subscribed and sworn to before me this L+ day of. G c , 201-7 <br />(SEAL) <br />is personti to me.or has produced <br />as identification. <br />NOTARY PUBLIC: <br />Printed name: "'rrMS& <br />00 <br />Commission No.: f' b?', <br />z my COMtt9SS1AY 11 FF 945828 <br />Commission Expiration: t <br />EXPIRES: 6—eaember22, 2019 <br />ryPntGctfaderxr8ers <br />[The remainder of this page was left blank intentionally) <br />Page 2 <br />Pay Appkalion f <br />Imb <br />(CONTRACTOR <br />ust be sig ed by <br />an Officer oftheCorporation) <br />Greg Hampton - Controller <br />Print Name and Title <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Y O G.w. j } G n , who being by me first duly sworn upon oath, says that he/she is the <br />('.ftY kkr v^ of the CONTRACTOR mentioned above and that he/she has-been duly authorized to act <br />on behalf of it, and that he/she executed the above Contractor's Application for Payment and Contractor's <br />Certification statement on behalf of said CONTRACTOR; and that all of the statements contained herein are true, <br />correct, and complete. Subscribed and sworn to before me this L+ day of. G c , 201-7 <br />(SEAL) <br />is personti to me.or has produced <br />as identification. <br />NOTARY PUBLIC: <br />Printed name: "'rrMS& <br />00 <br />Commission No.: f' b?', <br />z my COMtt9SS1AY 11 FF 945828 <br />Commission Expiration: t <br />EXPIRES: 6—eaember22, 2019 <br />ryPntGctfaderxr8ers <br />[The remainder of this page was left blank intentionally) <br />Page 2 <br />Pay Appkalion f <br />Imb <br />