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2018-038B
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2018-038B
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Last modified
12/21/2020 12:47:22 PM
Creation date
3/15/2018 11:41:37 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
02/20/2018
Control Number
2018-038B
Agenda Item Number
8.T.
Entity Name
Hinterland Group, Inc.
Subject
Culvert Replacement
Area
Blue Cypress Lake Road
Project Number
1748
Bid Number
2018033
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_RFP_IRC1758-Blue Cypress lake Road Culvert Replacement <br />entity, have any.relationships as defined in section 105.08, Indian River County Code, with any , <br />County Commissioner or County employee. <br />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 />Name of Affiliate Name of County Commissioner Relationship <br />or entity or employee <br />N/A <br />ignature <br />Daniel Duke, III - President <br />January 23, 2018 <br />(Date) <br />STATE OF Florida <br />COUNTY OF Martin <br />The foregoing instrument was acknowledged before me this 23rd day of January. . 2p 18 by_ <br />Daniel Duke. III , who i ersonally know to me or who has produced <br />as identification. <br />NOTARY PUB <br />SIGN: <br />Notary Public State of Florida <br />Q MyBBrelsslonGG12i032 PRINT: / <br />00µ Expires 10/2412021 <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />
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