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2. Updated Construction Schedule per Specification Section 01310. <br />Dated <br />STATE OF <br />COUNTY OF <br />By: <br />Page 2of5 <br />(CONTRACTOR — must be signed by <br />an Officer of the Corporation) <br />Print Name and Title <br />Sworn to (or affirmed) and subscribed before me by means of ❑ physical presence or ❑ online <br />notarization, this day of 20 , by <br />(name of person making statement). <br />(Signature of Notary Public - State of Florida) <br />(Print, Type, or Stamp Commissioned Name of Notary Public) <br />❑ who is personally known to me or ❑ who has produced <br />as identification. <br />Please remit payment to: <br />Contractor's Name: <br />Address: <br />[The remainder of this page was left blank intentionally] <br />Contractor's Application for Partial Payment - 06-09 rev - 00622 - 2 <br />FAPublic Works\ENGfNEERING DNISION PROJECTS\1639 69th Street 66th Avenue to US -1 Resurfacing (SCOP)\I-Admin\Bids\Bid Documents - Advertisement\DN 0_1 Bidding Documents - <br />20210824.docx <br />