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#0 <br />rf♦ <br />i <br />_.Neither the entity submitting this sworn statement, nor any officers. directors. executives. partners. <br />snareholders. employees, members or agents who are active in management of the entity, nor any <br />affiliate of the entity have been charged with and convicted of a public entity crime suosequent to July I, <br />1969. <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, or an <br />affiliate of the entity has been cnargeo with. ano conv ctea of. a public entay came suoseaueni to July I, <br />1989. ano (Please Indicate which additional statement appiesl <br />There has been a proceeding concerning the conviction before a nearing officer of the State of <br />Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place <br />the person or affiliate on the convicted vendorlist.(Please attach a copy of the final order) <br />The person or affiliate was placed on the convicted vendor Gist. There has been a subsequent <br />proceeding before a nearing officer of the State of Florida, Division of Administrative Hearings. The final <br />order entered by the nearing officer determined that it was in the public interest to remove the person or <br />affiliate from the convicted vendor list. (Please attach a copy of the final oroer) <br />Tile person or affiliate has not been placed on the convicted vendor list. (Please describe any <br />action taken by, or riding with, a Depa gent of General Services} <br />Signature: ate 7/10/2000 <br />STATE. OF (61r; q <br />County OF <br />Personally appeared before me, the undersigned authority , Riolid2 tJ ��_!LILo�`? o after <br />First being sworn by me, affixed his/her signature in the space provided above on this -! i „day of <br />l UkI,, 2000, <br />kao'a' S' " . <br />Notary Public, State at large rj <br />My Commission Expires: t0bn 12- zwo <br />A�o�. •t AILEEM S KNO]( <br />corn" Esp, 1 <br />010Y1�000 <br />rrp�r�n Qonded tty GarMMA Yrw <br />NQ CC8b763D <br />Iw.wdh*ma. p <br />FLWL 5(,3G --i53_99_ Na -d <br />31 <br />