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1140 <br />FINAL. PAYMENT <br />CONTRACTOR <br />STATE OF FLORIDA <br />COUNTY OF <br />I Personally before me the undersigned officer, authorized by the laws of said state to administer <br />oaths, comes - who on oath says: <br />I That he is the Contractor with whom Indian River County, Florida„ a political subdivision of said <br />state, did on the day of 1999, enter into a contract for the performance of <br />certain work, more particularly described as follows: <br />SHOOTING RANGE - SITEWORK <br />County Project "M 9629A <br />Affiant further says that said construction has been completed and the contract therefore fully <br />performed and final payment is now due and that all Gems contracting directly with or directly employed <br />by such contractor have been paid in full EXCEPT: <br />-NO= Amour <br />who have not been paid and who are due the amount set forth. <br />WITNESS: (Corporate Seal) <br />(Contractor) <br />By: <br />Subscribed and sworn to before me this — Day of ,1,,1999, <br />Attest; <br />I'i ..71 y FuiiAu <br />State of Florida at Larne <br />My Commission expires:_ (Notary seat) <br />Name of Notary typed or printed <br />I herewith acknowledge receipt of Final Payment on above and do hereby certify that I have no <br />claims against the owner of said property. <br />Contractor <br />FlIM1. PAYMEN'r <br />FP - 1 <br />