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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 IRC1737-74th Ave and 1st Street SW <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 <br />or entity <br />N/A <br />Name of County Commissioner <br />or employee <br />Relationship <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 23 day of January , 20 18 , by _ <br />Daniel Duke III , who is ersonally know" <br />now to me or who has produced <br />as identification. <br />NOTARY PU <br />�40VN Notdry Public State of FWde <br />SIGN: <br />Jay a 8181® <br />My Commlolon GG 121032 <br />Expires10129*021 PRINT- <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />Page 13 of 14 <br />
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