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Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> A t <br /> (Signature) <br /> q;? �, IIo <br /> (Date) <br /> STATE OF I 0 n GI OLS <br /> COUNTY OF 1n cI i (L-n � I vt r <br /> The foregoing instrument was acknowledged before me this Z '1 "day of Axr- � , 2010 , by <br /> c l I rn V\/ i G� YYl h n , who is personally known to me or who has produced <br /> as identification. <br /> -.n . d . . cae . aae . . . . se .. ae . ... a. e . e.. eu ...' NOTARY PUBLIC <br /> ELIZABETH A. ALV <br /> ARADO <br /> , w......,,,, Comm# Dp0820588 <br /> 3 Y P Expires 1012012012 ; SIGN: xe a o. � «J o <br /> AM <br /> PRINT :Inc ; <br /> 'o��fOcA Florida Notary .. . .. .. . . . . .e <br /> , - PRINT : F cube_ FCS wat"2rn <br /> Notary Public, State at large <br /> My Commission Expires : <br /> (Seal) <br /> 00452-2 <br /> R\Public Works\ENGINEERING DIVISION PROJECTS\0550 SR60&58th Ave Intersection Improvements (KHA)\Admim\Bid Documents\00452 <br />