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2018-168B
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2018-168B
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Last modified
1/4/2021 11:17:59 AM
Creation date
10/15/2018 4:45:14 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/11/2018
Control Number
2018-168B
Agenda Item Number
8.X.
Entity Name
Timothy Rose Contracting
Subject
Atlantic Boulevard Parking Area
Area
Atlantic Boulevard and 43rd Avenue
Project Number
IRC-1719
Bid Number
2018070
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Under penalty of perjury, Permittee declares that it has read the foregoing affidavit and the <br />facts stated in it are true. <br />FURTHER AFFIANT SAYETH NAUGHT <br />Permittee: <br />Authorized Signature: <br />(if signing as Owners Agent, attach Letter of Authorization to Sign from Owner) <br />Printed Name: <br />Date: <br />Work Telephone: _ <br />Mobile Telephone: <br />Email Address: <br />********************************* <br />The foregoing instrument was subscribed and sworn to before me this day of <br />20_ by <br />who is personally known to me or has produced <br />as identification and who did take oath. <br />My Commission expires: <br />Notary Public State of Florida at Large <br />+++ END OF SECTION+++ <br />01025-13 Technical Specifications <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1719 Atlantic Blvd Parkng Area Project\1-Admin\Bid DocumentsWlaster <br />Contract Documents\Technical Specifications uPDATED 5-25-2017.doc <br />
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