Laserfiche WebLink
Bid No. 2019031/IRC-1802 <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 />STATE OF j(1-71,1A,./L-1 <br />COUNTY OF <br />r <br />TjFe foreg In instru ent was acknowledged a ore me �/ i� day of it / , 20 d , by <br />hi) ale 5 <br />r� <br />1 who t 4.ersonally known to . e or who has produced <br />as iden ification. <br />(Signature) <br />2/14/19 <br />(Date) <br />NOTARY PUBLIC <br />SIGN: <br />PRINT: <br />Page 20 of 41 <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />e.i .'•"'.:Pi MARGUERITE M. ESTOCK <br />.t +�� :rs MY COMMISSION # FF 238495 <br />hWl <br />W. ? EXPIRES: October 5, 2019 <br />A ;t; Bonded Thru Notary Public Underwriters <br />