Laserfiche WebLink
ow <br />`r <br />as <br />yIVAOf <br />isy <br />14 <br />10 <br />�r <br />go <br />4/9/08 <br />(date) <br />STATE OF <br />COUNTY OF W16wim' <br />Personally appeared before me, the undersigned authority, JflaX k,Wa.e1npj) ) <br />w Iter first bein sword by me, affixed his/her signature in the space provided above on this <br />day at n <br />V . DIANE M. GONZALEZ <br />.004 Notary Public, State of Florida <br />Notary Public, State kt lar a My comm. exp. Aug. 26, 2010 <br />My Commission Expire (o�201(D Comm. No. DD 579463 <br />* * END OF SECTION * * <br />Last Revised 12/2007 00452 - 2 Wabasso Beach Pk, Restoration <br />F.Tubiic Worcs\Cliff Suthard\Wabasso Beach ParkW Construction Bid Documents\Bid Documents as of 1-9-2008\Div 0 AS OF 1- <br />8-2008\00452 - Disclosure of Relationships.doc <br />Name of Affiliate <br />or Entity <br />Name of County <br />Commissioner or employee <br />Relationship <br />1. <br />2. <br />3, <br />4. <br />5. <br />6. <br />7. <br />Be <br />4/9/08 <br />(date) <br />STATE OF <br />COUNTY OF W16wim' <br />Personally appeared before me, the undersigned authority, JflaX k,Wa.e1npj) ) <br />w Iter first bein sword by me, affixed his/her signature in the space provided above on this <br />day at n <br />V . DIANE M. GONZALEZ <br />.004 Notary Public, State of Florida <br />Notary Public, State kt lar a My comm. exp. Aug. 26, 2010 <br />My Commission Expire (o�201(D Comm. No. DD 579463 <br />* * END OF SECTION * * <br />Last Revised 12/2007 00452 - 2 Wabasso Beach Pk, Restoration <br />F.Tubiic Worcs\Cliff Suthard\Wabasso Beach ParkW Construction Bid Documents\Bid Documents as of 1-9-2008\Div 0 AS OF 1- <br />8-2008\00452 - Disclosure of Relationships.doc <br />