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Name of Affiliate Name of County Relationship <br /> Commissioner or em to ee <br /> 2 , <br /> 3 , <br /> 4 , <br /> 5 . <br /> 6 , <br /> 7 <br /> 8 . <br /> (signature) <br /> T, 00 03 <br /> ( date) <br /> STATE OF <br /> COUNTY OF <br /> Personally appeared before me the undersigned authority , Athe <br /> ^ <br /> w fter first be ' savor by me , affixed his/her sign ture i <br /> day of t3 . 20space provided above on this <br /> ,, ti� Yey •I Alysa A Comfort <br /> *: r_ MY COMMISSION # CC909615 EXPIRES <br /> Notary Public , State at I rge May 26, 2004 <br /> My Commission Expires : P , ° BONDED THRU TROY FAIN INSURANCE, INC <br /> r <br /> r <br /> ' * * END OF SECTION <br /> 00452 - 2 0378-00452 - Disclosure of Relationships <br /> FAEnglneering\Capital Projects\0378.26th Street Bridge\0378-26th Street Bridge CONTRACT DOC\0378-00452 • Disclosure of Relallonships.doc Rev. 05/01 <br />