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6 . Based on information and belief, the statement , which I have marked below , is true in relation to <br /> the entity submitting this sworn statement . [Please indicate which statement applies . ] <br /> X Neither the entity submitting this sworn statement , nor any officers , directors , executives , <br /> partners , shareholders , employees , members , or agents who are active in management of the <br /> entity , have any relationships as defined in section 105 . 08 , Indian River County Code, with any <br /> County Commissioner or County employee . <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 <br /> entity have the following relationships with a County Commissioner or County employee : <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> Signature) <br /> January 29 , 2010 <br /> (Date) <br /> STATE OF TEXAS <br /> COUNTY OF HARRIS <br /> The foregoing instrument was acknowledged before me this 29th day of January 2010 <br /> by Karl J . Scott who is personally known to me or who has produced <br /> as identification . <br /> NOTARY PUBLIC <br /> � 1 1 <br /> SIGN : <br /> PRM : U\j , <br /> Notary Public , State at rge <br /> My Commission Expires : <br /> �,;.. KATHLEEN M . WRIGHT <br /> • .- <br /> �/ h!Y COMMISSION EXPIRES <br /> Page 28 of 47 <br /> : . ,:-+:+`` JANUARY 22, 2013 <br />