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The entity submitting this sworn statement, or one or more of the officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in <br />management of the entity have the following relationships with a County Commissioner or <br />County employee: <br />0.4. (�L <br />(s nature) "�a`soni'l�ambers, E'esiucnt <br />_ July 20, 2009 <br />(date) - <br />STATE OF Florida <br />COUNTY OF ° <br />Personally appeared before me, the undersigned authority, ja,%u cna 1,P ; who <br />after zU�July <br />being sworn by me, affixed his/her signa�ture in the space provided above on this <br />lay of _ y , 20 o <br />r � <br />ary t'Ublic, to at large <br />My Commission E res: <br />13owy FMC • SAF Gf Poft <br />• r�E Wte,2010 <br />4 ,`�• COM*WM 0 DO 64W <br />Oa�+M 'END OF SECTION* <br />00452-2 <br />Y.VMIOPmiad,AVOM*2AADM$� M�,r' PLS CWICATWN`' • Carsaf i {Sra2i OTiO4.Gb*�Ma iP� G" 4 2 �ssc tssrtc of ii t �s hilt , <br />Name of Affiliate <br />or Entity� - <br />Name of County —! <br />Commissioner or Em to ee------ <br />Relationship _ �- <br />—-_—____--__—. <br />3. <br />6. <br />0.4. (�L <br />(s nature) "�a`soni'l�ambers, E'esiucnt <br />_ July 20, 2009 <br />(date) - <br />STATE OF Florida <br />COUNTY OF ° <br />Personally appeared before me, the undersigned authority, ja,%u cna 1,P ; who <br />after zU�July <br />being sworn by me, affixed his/her signa�ture in the space provided above on this <br />lay of _ y , 20 o <br />r � <br />ary t'Ublic, to at large <br />My Commission E res: <br />13owy FMC • SAF Gf Poft <br />• r�E Wte,2010 <br />4 ,`�• COM*WM 0 DO 64W <br />Oa�+M 'END OF SECTION* <br />00452-2 <br />Y.VMIOPmiad,AVOM*2AADM$� M�,r' PLS CWICATWN`' • Carsaf i {Sra2i OTiO4.Gb*�Ma iP� G" 4 2 �ssc tssrtc of ii t �s hilt , <br />