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%i�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 />lob IS—al)c)% <br />(date) <br />STATE OF 1f -- <br />COUNTY OF 10 r`i-IIkJ (K11U &R <br />Personally appeared before me, the undersigned authority, 1 t yyy) <br />who fter 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, 1 2008 . <br />My Commission Expires: <br />Name of Affiliate <br />or Entity <br />Name of County <br />Commissioner or employee <br />Relationship <br />1. <br />2. <br />00452-2 <br />3. <br />4. <br />5. <br />F <br />\Fnnin eorinn\!'anflal <br />Prniaric\n5FI F -19th <br />6. <br />Ratw>^n <br />1Rih <br />G..cnno <br />7. <br />0:A <br />n__.....__•_•nn.cn <br />8, <br />lob IS—al)c)% <br />(date) <br />STATE OF 1f -- <br />COUNTY OF 10 r`i-IIkJ (K11U &R <br />Personally appeared before me, the undersigned authority, 1 t yyy) <br />who fter 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, 1 2008 . <br />My Commission Expires: <br />END OF SECTION <br />00452 - Disclosure of Relationships REV 04-07 <br />GLORIA J. KUZMICK <br />00452-2 <br />MY COMMISSION Y DD 119964 <br />EXPIRES May 26.2009 <br />F <br />\Fnnin eorinn\!'anflal <br />Prniaric\n5FI F -19th <br />Bonded Thru NotaN Pudic Underwdlere <br />Ratw>^n <br />1Rih <br />G..cnno <br />e...i 1111. <br />0:A <br />n__.....__•_•nn.cn <br />END OF SECTION <br />00452 - Disclosure of Relationships REV 04-07 <br />00452-2 <br />F <br />\Fnnin eorinn\!'anflal <br />Prniaric\n5FI F -19th <br />RIrPAf <br />Ratw>^n <br />1Rih <br />G..cnno <br />e...i 1111. <br />0:A <br />n__.....__•_•nn.cn <br />--- •.:-- <br />n. <br />.....-. <br />-- <br />