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relationships as defined in section 105.08, .Indian River County Code, with any County Commissioner <br />or County employee. <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 />or entity <br />STATE OF <br />COUNTY OF <br />Name of County Commissioner <br />or employee <br />Relationship <br />Anrllyn MA?TSFL, V PIN <br />(Signature) <br />�M <br />(Date) <br />Sworn to (or affirmed) and subscribed before me by means of e physical presence or ❑ online <br />notarization, this Z154`4 day of SC r t -,W. _ 20 7-1 , by AtSr� Mt.,,a -Ts ►L <br />(name of person making statement). <br />Signature of N�otaryPublic - State of F rida) <br />(Print, Type, or Stamp Commissioned Name of Notary Public) <br />P who is personally known to me or ❑ who has produced <br />as identification. <br />p���tuuu�rq,. <br />�•��` ISE <br />KY <br />n : EXPIRES <br />E Lt 1G��.���. <br />Sworn Statement of Disclosure of Relationships - 00452-2 <br />F:\PulblicWorksENGINEERING DIVISION PROJECTS\1914A -Jackie Robinson Training Center -villas Remodel\7-Admin\Bids\Bid Documents\Bid Docs - Villas\Master Contract Documents\DIV <br />0_2_Bidding Documents - 20201002.docx <br />