Laserfiche WebLink
7i�auuy �oee eaxt�cactlor y, �Ke. <br /> 1360 SW Old Dixie Hwy Suite 106 <br /> Vero Beach , FL 32962 <br /> The entity submitting this sworn statement , or one or more of the officers , directors , <br /> executives , partners , shareholders , employees , members , or agents who are active <br /> in management of the entity have the following relationships with a County <br /> Commissioner or County employee : <br /> Name of Affiliate Name of County Relationship <br /> or Entity Commissioner or employee <br /> 1 . <br /> 2 . <br /> 3 . <br /> 4 . <br /> 5 , <br /> 6. <br /> 7 . <br /> 8 . <br /> ( nat re) <br /> I td- 15 - aIYA <br /> (date) <br /> STATE OF � -- <br /> COUNTY OF 10 r`i- O'j ay &R <br /> Personally appeared before me , the undersigned authority , 1 t yyx) <br /> whofter first bein sworn by me , affixed his/her signature in the space prov ed above on this <br /> JZ5+FFN day of C)CZ,1n 6EY0s, 2008 . <br /> GLORIA J. KUZMICK <br /> / JX-Z! <br /> : MY COb1MISSiON Y DD 119964 <br /> Notary Public, St at large �; EXPIRES May 26. 2009 <br /> .WIF Bonded Thru NotaN Pudic underwmw <br /> My Commission Expires : <br /> END OF SECTION <br /> 00452 - Disclosure of Relationships REV 04-07 <br /> 00452 - 2 <br /> F \Fnnin eorinn\!' anflal Pmlorlc\l191 F- 19/h Flrcnl Rahu>en 1RIh G.mnno e...i n . Dl.......nec e: � n_ _. ..�-_•_• nn . rn n:__: _ -. .-- -. n_ - <br />•' - - -•.+ _ _ n. . • .. . ..-. - - <br />