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May 25, 1.999 <br />FINAL PAYMENT <br />CONTRACTOR <br />STATE OF FLORIDA <br />COUNTY OF <br />Personally before me the undersigned officer, authorized by the laws of said state to administer <br />oaths, comes <br />who on oath says: <br />That he is the Contractor with whom Indian River County, Florida, a political subdivision of <br />said state, did on the day of 1 19. enter into a contract for the <br />performance of certain work, more particularly described as follows: <br />IMPROVEMENTS TO: <br />DALE WIMBROW PARI <br />IRC PROJECT NO. 9625B <br />A$iant further says that said construction has been completed and the contract therefore fully <br />performed and final payment is now due and that all liens contracting directly with or directly <br />employed by such contractor 1,.,..41 t.mr -;A- : 41.11 VVPVDT- <br />Name Description Amount <br />who have not been paid and who are due the amount set forth. <br />WITNESS: (Corporate Seal) <br />Subscribed and sworn to (or affmned) before me on <br />to me or has produced <br />Contractor) <br />By: <br />by <br />affiant). He/she is personally known <br />as identification. <br />Signature) SEAL <br />Name of Notary Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />Commission It) <br />I herewith acknowledge receipt of final payment on above and do hereby certify that I have no claims <br />against the owner of said property. <br />Contractor <br />Fp_Y