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Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> (Signature) <br /> 9 / 08 / 10 <br /> (Date) <br /> STATE OF Florida <br /> COUNTY OF St , Lucie <br /> The foregoing instrument was acknowledged before me this 8th day of September , 20 10, by <br /> Melvin Bush , who is personally known to me or who has produced <br /> as identification. <br /> NOTARY P LIC <br /> SIGN: <br /> PRINT : Mary E . Oehler <br /> Notary Public, State at large <br /> My Commission Expires : <br /> NOTARY PUBLIC-STATE OF FLORIDA <br /> ( E. Oehler <br /> Commission # DDS02112 <br /> °•.,,, ,,..••' Expires : AUG. 14, 2012 <br /> BorDFD MU ATLA MC BONDING c0, INC. <br /> 00452-2 <br /> F:\Pubk WorksIENGINEERING WISION PROJECTS10744-8th St-US1 tD .61h AveAdrnim\bid doc mnts\0744 CONTRACT DOCUMENTS\00452 <br /> Disdosure of Reladonships.doc <br />