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STATE OF _ <br />COUNTY OF <br />The foregoing instrument was acknowledged before me, by means of ❑ physical <br />presence or ❑ online notarization, this day of , 2022, by , <br />the of , a (state) <br />corporation, on behalf of the corporation, who is ❑ personally known or ❑ produced <br />identification in the form of <br />NOTARIAL SEAL: <br />BOARD OF COUNTY COMMISSIONERS OF <br />INDIAN RIVER COUNTY, FLORIDA <br />Peter D. O'Bryan, CHAIRMAN <br />ATTEST: Jeffrey R. Smith, <br />Clerk of Court and Comptroller <br />By: <br />Deputy Clerk <br />Approved as to Form and Legal Sufficiency: <br />By: <br />Dylan Reingold, County Attorney <br />Approved by: <br />By: <br />Jason E. Brown, County Administrator <br />NOTARY PUBLIC <br />Printed Name: <br />Commission No.: <br />Commission Expiration: <br />Page 6LN <br />FAUtlities\00_UTTLITY - AGENDA TEMPLATE & GUIDELINES\2022 Agenda Items\060722 BCC Agenda items\Indian River Club Reuse Agreement\indian River Club Reuse Agreement <br />05I82022.doc <br />