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IF <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> (Signature) <br /> (Date) <br /> STATE OFD <br /> Q <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this I ' " day of 4 _, 201$, by <br /> 1 ln � 120 CIE, , who is personally known to me or who has produced <br /> l�1 JA as identification. <br /> 0 Y PUBLI a <br /> SIGN : <br /> PRINT: L e, Ar <br /> I Notary Public, State at largeJ <br /> My Commission Expires : <br /> (Seal) <br /> I <br /> N iN VICKIE LEE WRIGHT <br /> er *0 Notary PubkoBWe of Ronda <br /> t�,** 41 My Commission Exp. March 11, 2016 <br /> �, io Commission No. EE 171452 <br /> 00452-2 <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\1102-Old Dixie Hwy Swk 8th St to SR 60-LAP\Admim\bid documents\Master Contract <br /> ; IF- _ Documents\00452 Disclosure of Relationships Aoc <br />