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J <br /> r ` Period Ending August 31 , 2006 <br /> Central Region Waste Water Treatment Plant Expansion Estimate No.: Twenty-one (21 ) - Final <br /> Indian River County Bid No' 7029 Date: December 31 , 2006 <br /> Indian River CountyFlorida Partial Completion Date: N/A <br /> Indian River Industrial Contractors Substantial Completion Date: 7/31/2006 <br /> P. 0. BOX 23086 Contract Compl. Date: 7/31 /2006 <br /> Jacksonville, FL 32241-3086 <br /> IRIC Project No. 59017 <br /> CERTIFICATION OF CONTRACTOR <br /> The undersigned CONTRACTOR certifies that: (1 ) all previous progress payments received from OWNER on account of Work done under the Contract referred to <br /> above have been applied to discharge in Full all obligations of CONTRACTOR incurred <br /> in connection with Work covered by prior Application for Payments numbered 1 through 20 inclusive; (2) title to all Work, materials and equipment incorporated <br /> in said Work or otherwise listed in or covered by this Application for Payment will pass to <br /> OWNER at time of payment free and clear of all liens, claims, security interest and encumbrances (except such as are covered by Bond acceptable to OWNE <br /> demn" OWNER against any such Lien , claim , security interest or encumbrance); and <br /> (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and not defective as that term is define in the Contract <br /> D me s. <br /> Indian River I riot tractors, In <br /> DATED: December 31, 2006 BY: <br /> Steven Rea, Vice President <br /> Payment of BALANCE DUE THIS APPLICATION Is recommended. <br /> ENGINEER APPROVAL CERTIFICATION OF OWNER <br /> Masteller & Moiler, Inc. Indian River County <br /> rma <br /> By: �� Cl � � n� Z1zL-Jz7 By: Gcl �•- — <br /> F. <br /> Mr. Earl H. Mastelle , P.E. ,s <br /> State of Florida - County of Duval <br /> ATTEST : J . K .; Baton;; :Cl'e `rk <br /> Before me personally appeared Steven H. Rea, Vice President to me well known and Known to me to be the person r' <br /> 1 r • <br /> described in and who executed the foregoing Instrument for the purposes therein expressed. By : 2C�Q <br /> Deputy Clerk <br /> �- APPROVED AS TO FORM <br /> Darlene Chung-Hoon .......................•••••••••............ <br /> DARLENE CHUNG-MOON `: D -GAL SUCIENCY 1PPROVED • 1 <br /> Comn* DD0298141 '• <br /> aFjp® . e Edi as3R12008 <br /> 7 's�+'sarr n T Bunded dinu (800)432425: : <br /> �,,, •°� <br /> Florida•Notary Ass .. Ic� ° MARIA L n . : r t°• irlistrator <br /> 3•••••^"^•••••• •• • •+ SStSTANT COUNTV ATTORNEY <br /> Page 1 of 7 <br />