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2. Updated Construction Schedule per Specification Section 01310, and <br />Dated <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Page 2 of 5 <br />__..0---_ <br />(CONTRACTOR - must be signed by <br />an Officer of the Corporation) 1t� <br />1 j"(Cf Q -C [ Aw�Lc""IJ, VT.' <br />Print Name and Title <br />Before mey a- Notary Public, duly commissioned, qualified, and acting, personally appeared <br />ta�ze( Ft�ncr�7n who being by me first duly sworn upon oath, says that he/she is the <br />e 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 erein are true, correct, and complete. Subscribed and sworn to before <br />me this qday of OW , 20 <br />f <br />,,% -C/WX/ is personally known to me , or has produced <br />0LOsj�O <br />(SEAL) •,����' <br />s oa';•. <br />v $FF 969856 <br />B04ded �h�O ��0• <br />A��i//,AUC, <br />Please remit paernili+d�;��� <br />as <br />NOTARY PUBLIC: — -� <br />Printed name: / <br />Commission do.: <br />Commission Exp <br />Contractor's Name: Z)0V01rM0 7�117rl • -4-00`, <br />Address: <br />orf /azc610�2& /Q .333ff <br />[The remainder of this page was left blank intentionally] <br />Indian River Pay App 7 07-20-18 <br />00622-2 <br />SMomuntlnglColledlona ANNAW91ing1l7R0381Pay App 6Nndian War Pay App 7 07 20-18.doe Rev. 05101 50 <br />