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do <br />Go <br />FINAL PAYMENT <br />STATE OF FLORIDA <br />COUNTY OF <br />Personally before me the undersigned officer, authorized by the laws of said state to administer <br />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 ,20 , enter into a contract for the <br />performance of certain work, more particularly described as follows: <br />EMERGENCY DUNE RESTORATION PROJECT <br />INDIAN RIVER COUNTY PROJECT #0019 <br />Affiant further says that said construction has been completed and the contract therefore fully <br />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 Description/Amount <br />who have not been paid and who are due the amount set forth. <br />WITNESS: (Corporate Seal) <br />(Contractor) <br />By: <br />Subscribed and sworn to before me this <br />Attest: <br />Notary Public State of Florida at Large <br />My Commission expires: <br />day of , 20 -- <br />(Notary Seal) <br />Name of Notary typed or printed <br />I herewith acknowledge receipt of Final Payment on above and do hereby certify that I have no <br />claims against the owner of said property. <br />(Contractor) <br />FINAL PAYMENT <br />FP 1 <br />