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Melvin Bush Construction, Inc <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 entity <br />have the following relationships with a County Commissioner or County employee: <br />Name of Affiliate <br />Name of County Commissioner Relationship <br />or entity or employee <br />NONE <br />STATE OF FLORIDA <br />COUNTY OF SAINT LUCIE <br />The foregoing instrument was acknowledged before me this <br />Melvin Bush <br />-'Signature) MELUIN BUSH <br />09/24/2014 <br />(Date) <br />day of , P i'11p (� , 2014, by <br />, who is personally known to me or who has produced <br />PERSONALLY KNOWN as identification. <br />SIGN: <br />NOTARY PUBLIC <br />6),JJO,CO3c_ <br />PRINT: BARBARA PAWELEC <br />Notary Public, State at large <br />ly Coirunission Expires: 0 6 / 16 / 2 017 <br />Seal) r�`" ... . A A.WFLEC <br />A4BAREARAPAVIELEC <br />Y COMMISSION k FF027974 <br />2ortEXIhR:u.ES. June 16, <br />2017No;a_ v5kc Underxrfle <br />rs <br />00452-2 <br />