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2019-061B
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2019-061B
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Last modified
12/27/2019 12:49:18 PM
Creation date
4/26/2019 1:52:57 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Bid
Approved Date
04/09/2019
Control Number
2019-061B
Agenda Item Number
8.H.
Subject
Wabasso Causeway Fishing Pier Demolition Project
Project Number
IRC-1712
Bid Number
2019035
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,,,k'iii; Piu'•. TINA M. PETERSON D <br />$ Notary Public - State of Florida Y <br />Commission # GG 235926 <br />''•oc ry'. My Comm. Expires Nov 2, 2022 P <br />' .., Bonded through National Notary Assn. D <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 />n/a <br />(Signature) <br />March 28, 2019 <br />(Date) <br />STATE OF Florida <br />COUNTY OF St. Lucie <br />The foregoing instrument was acknowledged before me this 28th day of March , 20 19, by <br />John T. Glanville , who is personally known to me or who has produced <br />as identification. <br />00452-2 <br />SIGN: <br />NO RY PUBLIC <br />PRINT: Tina M. Peterson <br />Notary Public, State at large <br />My Commission Expires: 11/02/22 <br />(Seal) <br />F:1Pubiic WorkMENGINEERING DMSION PROJECTS11712 Wabasso Fishing Pier -Bridge Removalll AdminlBid DocumentstContract <br />Documentst00452 Disclosure of Relationships.doc <br />
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