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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 <br />administer oaths, comes 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, , 2000, enter into a contract for the <br />performance of certain work, more particularly described as follows: <br />SHOOTING RANGE= - BUILDINGS <br />County Project # 96290 <br />Affiant further says that said construction has been completed and the contract therefore <br />fully performed and final payment is now due and that all liens contracting directly with or directly <br />employed by such contractor have been paid in full EXCEPT: <br />Name <br />iZes_cLlption <br />F_+mautii <br />who have not been paid and who are due the amount set forth. <br />WITNESS. (Corporate Seal) <br />(Contractor) <br />fay: <br />Subscribed and sworn to before me this day of .2000. <br />Attest: <br />Notary Public <br />State of Florida at Large <br />My Commission expires:. (Notary seal) <br />Name of Notary typed or printed <br />I herewith a0knowledge rewipt of Final Payment on above and do hereby certify that I have <br />no daims against the owner of said properly <br />Contraclm <br />114AY 1'Ab'►�r.4'�1 <br />r t' ! <br />