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Page 2 of 5 <br />2. Updated Construction Schedule per Specification Section 01310. <br />Dated 9 — 7 <br />(01MI TRAfCTOR — must be signed by <br />an Officer of the Corporation) <br />Print Name and Title <br />STATE OF % d. o , <br />COUNTY OF ",cwt KfQ e✓ <br />Sworn to (or affirmed) and subscribed before me by means of Erphysicai presence or ❑ online <br />notarization, this -7 day of �R 202�L, by acuse-annn <br />(name of person making statement <br />P-^-- <br />(SignatiLA of Notary loblic - State of Florida) <br />(Print, e, or Stamp Commissioned Name of Notary Public) <br />who is personally known to me or ❑ who has produced <br />as identification. EqW Jw*6.X <br />Please remit payment to: <br />Contractor's Nance: Indian River Docks, LLC <br />Address: 481 Avocado Ave. <br />Sebastian FL 32958 <br />[The remainder of this page was left blank intentionally] <br />Contractor's Application for Partial Payment - 06-09 rev - 00622 - 2 <br />F APurchasing0ds12022-2023 FY (2023000)12023021 Replacement Pontoon Boat Dock at the EmAronmeMI learning Center Re-Bid0ratl Docs\)N 0- 3_Con"d F210824 <br />2 ,docx <br />