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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year <br />first above written. <br />BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA <br />INDIAN RIVER COUNTY DEPARTMENT OF TRANSPORTATION <br />Name of RECIPIENT) <br />Date: Anr; 1 7, 2020 <br />ATTEST: <br />Jeffrey R. Smith, Clerk of Court & Comptroller <br />By: <br />gApf WMUO , Deputy Clerk <br />FDOT OFFICE OF THE GENERAL COUNSEL <br />LEGAL REVIEW: <br />See attached encumbrance form for date of <br />Funding approval by Comptroller <br />APPROVED AS TO FORM & LEGAL SUFFICIENCY: <br />Recipient's LEGAL REVIEW: , _ _ 4 W <br />Print Name: WILLIAM K. DEBRAAL <br />DEPUTY COUNTY ATTORNEY <br />Page 2 of 2 <br />TENT <br />