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Name of Affiliate Name of County Commissioner Relationship <br />or entity or employee <br />N/A <br />STATE OF Florida <br />F. Scott Fowler ( attire) Vice President <br />April 24, 2013 <br />(Date) <br />COUNTY OF Orange <br />The foregoing instrument was acknowledged before me this 24th day of April 2013 by <br />F. Scott Fowler , who is personally known to me or who has produced <br />J <br />as identification. <br />NOTARY PUBLIC <br />SIGN: <br />PRINT: Penni L. Huddleston <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />,OO PAY *�sI,, PENNI L. bUDDLESTON <br />Notary Public - State of Florida <br />My Comm. Expires Oct 23, 2093 <br />Commission EE 297707 <br />III \\\\\ <br />00452-2 <br />F;\Public Works\ENGINEERING DIVISION PROJECTS\1132-CR 512 Ebnd Resurfacing Roseland Rd to Easy St -SEE PROJ 0926\AdmWContract <br />Documents\00452 Disclosure of Relationships.doc <br />