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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/she is the CONTRACTOR with whom Indian River County, Florida, a political <br /> subdivision of said state, did on the day of , 2003 enter into a contract for the <br /> performance of certain work, more particularly described as follows : <br /> MITIGATION REEF PROJECT - SHORELINE SECTORS 1 & 2 <br /> (AMBERSAND BEACH) <br /> INDIAN RIVER COUNTY PROJECT #03102 <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 by Subcontractors, persons or <br /> organizations who have either contracted directly with or who are directly employed by such <br /> 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 day of 2003 . <br /> My Commission Expires : (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 claims <br /> against the owner of said property. <br /> (CONTRACTOR) <br /> FINAL PAYMENT FP- 1 <br />