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Data Flow Systems <br /> (Company Name ) <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 in <br /> management of the entity have the following relationships with a County Commissioner or <br /> County employee : <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> { <br /> i <br /> ( Signature ) <br /> ( Date ) <br /> STATE OF Ot6L <br /> COUNTY OF 7?) re Va. rG( <br /> The foregoing instrument was acknowledged before me this 15 day of IMarCtl 201 , by I <br /> `T /Yl CSS 6m,11 I ' <br /> ✓t S , who ispersonallyknown to me or who has produced <br /> as identification , <br /> NOTARY PUBLIC <br /> S I G <br /> PRINT : 1 ✓r � L� C'�Sk� — L4� i a <br /> Notary Public , S ate at large <br /> My Commission Expires : <br /> i <br /> ( Seal ) <br /> * END OF SECTION * � Notary Public state of Florida <br /> a� <br /> Deborah Caskey-Wilkinson <br /> C My Commission DD768998 i <br /> '' orn0 Expires 03/29/2012 <br /> I <br /> I <br /> 00452-2 <br />