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INDIAN RIVER COUNTY PUBLIC WORKS <br />UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT <br />(AT UTILITY EXPENSE) <br />ATTEST: RYAN L. BUTLER <br />Cleric of Circuit Court and Comptroller <br />By: <br />Deputy Clerk <br />APPROVED AS TO FORM AND <br />LEGAL SUFFICIENCY <br />INDIAN RIVER COUNTY, FLORIDA <br />By its Board of County Commissioners <br />By: <br />Name:, Susan Adams <br />Chairman <br />(Official Seal) <br />By <br />WILLIAM K. DEBRAAL <br />County Attorney <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Sworn to (or affirmed) and subscribed before me by means of ❑ physical presence or ❑ 000 <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 <br />Public) <br />❑ who is personally known to me or ❑ who has produced <br />as identification. <br />Page 9 of 10 <br />A - <br />