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Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> iuv4 = <br /> (Signature <br /> ve7 <br /> ��N ^ <br /> STATE OF 1.�. (Date) <br /> COUNTY OF Or l <br /> The fo egoinnstrument was acknowledged before me this day of 2A, <br /> by who is perso�11v known to me or .who has <br /> produced as identification. <br /> NOTA47Y PUBLIC <br /> SIGN: <br /> PRWr: "tow <br /> State of Florida at Large 1 /4 /L <br /> L 000000 <br /> My Commission BL Ex t"miry <br /> (Seal) 0 , 'we �7�Y :O' <br /> • .p <br /> 3 W: Ny cann . <br /> �. AUgo 14 2M2 <br /> • 0 = <br /> z No. oo <br /> !;u81.\C: OQ <br /> SOF�F�����`,. <br /> a <br /> Page 38 of 55 <br />