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it <br />The entity submitting this sworn statement, or one or more of the officers, directors, executives, <br />partners, shareholders, employees, members, or agents, who are active in management of the entity <br />have the following relationships with a County Commissioner or County employee: <br />Name of Affiliate <br />or entity <br />Name of County Commissioner Relationship <br />or employee <br />1 <br />STATE OF Florida <br />• <br />• <br />December 18, 2013 <br />(Date) <br />COUNTY OF Orange <br />The foregoing instrument was acknowledged before me this 18 day of December , 2013 , by <br />F. Scott Fowler , who is personally known to me or who has produced <br />as identification. <br />O <br />0 \ \.. K• SingiCA �>��' <br />RP , <br />di '4 Ili <br />OJ amber 7� FfA 5 <br />*. O Crn <br />*_ <br />01 #FF 046582 : aQ <br />i9��' ay �/Medtttnl e� • •QS <br />// .� ;FL65c Unde O � <br />0% iTt i C»\\\` <br />SIGN: <br />NOTARY)P,LYBLI <br />00452-2 <br />Notary Public, State at large <br />My Commission Expires: December 17, 2017 <br />(Seal) <br />..._a._..-..r'u.,rrntun nn nct,-n' non tcr-rc» Inn ID ❑t...a Dace ..forinn-ICffD1 I IC1 to 17th CHArimimlhiri rinctiments1nNl4S7 nierine pro of <br />