Laserfiche WebLink
FROM -,o IRC ENV HEALTH FAX NO. : 5617947447 Mar. 01 2004 10:37AM P6 <br />FINAL PAYMENT <br />STATE OF FLORIDA <br />COUNTY C.)1' <br />Personally before me the undersigned officer, authorized by the laws of said state to administer <br />oaths, conies • 1' i S Y , who on oath says: <br />That he/she is the CO ACTOR 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 />BAYTREE, MARBRISA, AND SEAGRAPE TRAII. DUNE RESTORATION PROJECT <br />INDIAN RIVER COUNTY PROJECT #03103 <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 />.riation/Ainount ' <br />who have not been paid and who are due the amount set forth. <br />���5 <br />Qo,n's rc� <br />Subscribed and sworn to before me this �_ day of Mc-kx='�*V\ q <br />My Commission Expires: aS — O 1—O u (Notary Seal) qA -.v <br />Name of Notary typed or printed _..:__ MY COMMISSION !` <br />:DDI 1489 E�lpi�ES:';<1 r �•; i..; <br />May i, .2006' <br />FitP y F'N. BONDED7FPjJjR0Y NC 1"C <br />1 herewith acknowledge receipt of Final Payment on above and id %ereb ce >t 1 nave no . . <br />claims against the owner of said property. <br />(CONTRACTOR) <br />FINAL PAYMENT FP4 <br />