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2000-301
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2000-301
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Last modified
8/6/2024 10:53:52 AM
Creation date
8/6/2024 10:49:53 AM
Metadata
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Template:
Official Documents
Official Document Type
Miscellaneous
Approved Date
10/03/2000
Control Number
2000-301
Agenda Item Number
11.H.1.
Entity Name
IRC Department of Utility ServicesDixie Heights Water Assessment
Tri-Sure Corp.
Subject
Dixie Heights Water Assessment Project
Bid No. 2062
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6706-050 <br />FINAL RECE I PT <br />Received this ______ day of _________ A.O., 19 __ of <br />as full and final payment of the cost of a ll Improvements provided for In the <br />foregoing contract the sum of _______________ _ <br />____________ Dollars and __________ Cents, <br />($ ________ .), In cash, being the full amount accruing to the undersigned <br />by virtue of said Contract, sai d cash covering and Including full payment -for a ll <br />extra work and materi al f urnished by the undersigned In the construction of said <br />Improvements, and all Incidentals thereto, and the undersigned hereby releases the <br />said ___________ from all c l aims whatsoever growing out of the <br />said Contract. <br />These preserits a re to certify that all persons <br />doing work upon or furnishing materials or supplies for said Improvements under <br />the foregoing Contract have been paid i n full. <br />The undersigned further certifies that a ll taxes <br />imposed by Chapter 212, Fl orida Statues (Sales and Use Tax Act), as amended, <br />have been paid and discharged. <br />CONTRACTOR <br />00800-37 <br />J/21195
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