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TO BE EXECUTED BY CORPORATE SURETY: <br /> ' Attest: <br /> Secretary Corporate Surety <br /> Business Address <br /> ' BY: <br /> ' (Afix Corporate SEAL) <br /> ' Attorney- In- Fact <br /> ' Name of Local Agency <br /> ' Business Address <br /> STATE OF FLORIDA <br /> ' COUNTY OF INDIAN RIVER <br /> Before me , a Notary Public, duly commissioned , qualified and acting , personally appeared <br /> to me well known , who being by me first duly sworn upon oath , says <br /> that he is the attorney-in-fact for the and that he has been authorized by <br /> to execute the foregoing bond on behalf of the CONTRACTOR <br /> named therein in favor of the County of Indian River, Florida . Subscribed and sworn to before me <br /> ' this day of , 20 <br /> Notary Public, State of Florida <br /> My Commission Expires : <br /> ' [The remainder of this page was left blank intentionally] <br /> 5/04/01 PAYMENT BOND 00612-5 <br /> FAPublic WorksWeithM\Storm ester Projects\(afford East\Construction Contract\Bidding & Contract Documents\Bidding & Contract <br /> Documents\00612 - Payment Bond .doc <br />