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Name of Affiliate <br />or Entitv <br />E <br />STATE OF "rzC'JZ r 'DA <br />COUNTY OF <br />,i. Lu _ iL <br />Name of County Relationship <br />Commissioner or emDlovee <br />(signature) <br />/d 1"r e7 <br />(date) <br />Personally appeared before me, the undersigned authority, l <br />Who atter first being sworn by me, affixed his/her signature in the space provided abo eGon his <br />�S L day of pG��i3�2 -,2069- <br />/�i A �OZpRY PV <br />BRENDA C. HORNE <br />* MY COMMISSION # DD 627945 <br />Notary Public, State at large N,9 EXPIRES; January 13, 2011 <br />My Commission Expires:oFFtoR Bonded ThruBudget Notary Services <br />* * END OF SECTION * * <br />Last Revised 08/2008 00452-2 <br />of Af AA—ch flnn <br />F:\Public Works\Cliff Suthard\1 A A Egret Marsh Redesign Contract Documents Technical Specifications\DiEv 0\00452 Marsh Disclosue <br />RohVinnehinc M— <br />