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I <br />I <br />IRC-2204 <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 Name of County Commissioner Relationship <br />or entity or employee <br />(Signature) Michael O'Neill <br />08/02/2022 <br />(Date) <br />STATE OF Florida <br />COUNTY OF Indian River <br />Sworn to (or affirmed) and subscribed before me by means of ® physical presence or ❑ online <br />notarization, this 2nd day of August 2022 by Michael O'Neill <br />(name of person making statement). <br />�'pr o�'.• DARLINE COSTAGLIOLA HANNON <br />Notary Public - State of Florida <br />"o= Commission HH 086683 <br />My Comm. Expires Jan 31, 2025 <br />Borded through National Notary Assn. (Signature o otary Public - State of Florida) <br />(Print, Type, or Stamp Commissioned Name of Notary Public) <br />® who is personally known to me or ❑ who has produced <br />as identification. <br />* * END OF SECTION * * <br />Sworn Statement of Disclosure of Relationships - 00452-2 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\2204 Dick Bird Park -Pickle Ball Court\1-Admin\Bids\Bid Documents\DIV 0-1—Bid and Contract Doc IRC-2204.docx <br />