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410 <br />r <br />this sworn statement. ('Please indicate which statement <br />applies). <br />Neither the entity submitting this sworn statement, nor any <br />officers, directors, executives, partners, shareholders, <br />employees, members, or agents who are active in management <br />of the entity, have any relationships as defined in Section <br />105.08, Indian River County Code, with any County <br />Commissioner or County employee.. <br />The entity Submitting this sworn statement, or one or more <br />of the officers, directors, executives, partners, <br />shareholders, employees, members, or agents who are active <br />in management of the entity have the following relationships <br />with a County Commissioner or County employee. <br />Name of Affiliate Name of County Relationship <br />Or Entity Commissioners <br />v (Si nate ) <br />Lawrence J. Myers <br />August 10, 1999 <br />(Date) <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Thea foregoing instrument was acknowledged before me this 10th day <br />of AaMst , 19'99 , by Lawrence J. Myers , who is <br />t <br />personally known i;—MAQAW <br />____as identification. <br />NOT X PUBLIC <br />/II IIS A9 <br />SIGNATURE I <br />cancra M. BMWIS PRINT d�d n I1 e 5 <br />*' s MY C�l4M.NSSM I OMI942 EXPIRES <br />RPM2T,2€16} STATE OF FLORIDA AT LARGE <br />END OF SECTION <br />00310-12 <br />( SEAL ) <br />