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2. Updated Construction Schedule per Specification Section 01310, and <br />Dated /f /r By: <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />(CONTRACTOR — must be signed by <br />an Officer of the Corporation) <br />Print Name and Title / <br />ViCe ,r16 dl.,J t� / ?'n4 690176i- <br />r . 6e <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Zo 4 EA 4 Seo 11 #' being by me first duly sworn upon oath, says that he/she is the <br />Qub+)we 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 statemens contained herein are true, co ect, and complete. Subscribed and sworn to before <br />me this 301 day of iVo%ivt4et , 20 1 K. <br />ID du -14.1 See fi fIocmi <br />is personal) <br />known to me or has produced <br />as identification. <br />(SEAL) <br />NOTARY PUBLIC: <br />Printed name: <br />54 -hi WILSoa <br />Commission No.: C, /'f v./ 9 <br />Commission Expiration: 9'/l as a a/ <br />*******************************************************************************AAAA RA*** <br />[The remainder of this page was left blank intentionally] <br />00622 - Contractors Application for Payment No. 61INAL <br />00622 - 2 <br />C:\Users\ghampton\AppData\Local\Microsoft\Windows1INetCache\Content.OuticoklFXOSLOHM\00622 - Contractor's Application for Payment No. 11 FINAL.doc <br />