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Signa re Witness #1 <br />45vz., 1�Sc�je.n <br />Printed Name — Witness #1 <br />53'7 2C ,rv:,t. G <br />5e Arm'.'Y L _e �" <br />Address <br />,,— Witness #1 <br />&V) <br />SiSi n fitness 2 <br />M <br />Printed Name — Witness #2 <br />Address — Witness #2 <br />STATE OF FLORIDA <br />COUNTY OF <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />INDIAN RIVER COUNTY, <br />a political subdivisi the State of Florida <br />By: <br />Sean Li ske <br />Director, De artm nt of Utility Services <br />Date: <br />The foregoing instrument was acknowledged before me, by means of 0 physical <br />presence or n online notarization, this 4Zday of �7 .` ' -___,2024 by i,,, csk_z_ <br />the N/ of INDIAN RIVER COUNTY, a political <br />subdivision of the State of Florida, who is gl5ersonally known or ❑ produced identification in the form <br />of <br />SEAL: <br />Approved as to form and <br />legal suffio(ncy: <br />By: <br />f_/County Attorney <br />Initials DO\— <br />NOTARY PUBLIC: <br />��// t <br />Sign: /�_4'e:�I , <br />Printed Name: ,,tv- r< i%l� <e:<:c n.• <br />Commission No.: <br />Commission Expiration: <br />HEATHER <br />L. ALEXAHC; R <br />Notary Public • State of *" oriea <br />Commission tt HH aS: 497 <br />am My Comm. Expires mar • 7. 2C:`: <br />Bonded through National NCtary Asir, <br />t -w <br />License Agreement <br />8350 58TH AVE <br />Page 6 of 6 <br />