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, 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 have <br />the following relationships with a County Commissioner or County employee: <br />Name of Affiliate <br />or entity <br />STATE OF FLORIDA <br />COUNTY OF MARTIN <br />Name of County Commissioner <br />or employee <br />Relationship <br />"-L�ja� <br />(Signa re) <br />6.11.20 <br />(Date) <br />11 <br />The foregoing instrument was acknowledged before me this day of JUNE M20 <br />MARGARET FENTON who is personally known to me or who has produced <br />as identification. <br />N - TARY PUBLIQ <br />SIGN: <br />PRINT: l— I <br />Notary Public, State at large <br />My Commission Expires: <br />by <br />(Seal) ;,�a."oe`., FRANKIETAYLOR <br />Notary Public • State of Florica <br />Commission: GG 272847 <br />orrt°`' My Comm. Expires Feb 20, 2023 <br />Bonded through National Notary Assn,, <br />Sworn Statement of Disclosure of Relationships - 00452-2 <br />F:Tublic WotWENGINEERING DIVISION PROJECTS\1909 8th ST at IRB Slgnalization ImproNl•AdmintBidslBld DocumentsIDIV 0 2 Bidding Documents.docx <br />