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Ke:'@'4S Construction & Property Management agement Con . <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 entit <br />have the following relationships with a County Commissioner or County employee: 1 <br />Name of Affiliate <br />Name of County Commissioner Relationship <br />or entity or employee <br />r <br />(Signature) <br />May 20, 2015 <br />STA 1h OF o f,Gio O , <br />COUNTY OF • <br />The foregoing instrument was acknowledged before me this 02D day of <br />C e n c i (tik.S i,v.-e_(;,(L- <br />(Date) <br />Q� <br />,201-6, by <br />who is personally known to me or who has produced <br />as identification. <br />SIGN: <br />PRINT: <br />00452-2 <br />NOTARY PUBLIC <br />IL, <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />1'""°" JULIE J. GUETTLER <br />MY COMMISSION # EE142573 <br />EXPIRES: October 31, 2015 <br />�� <br />I400-3-NOTARY00I400-3-NOTARY�Y Fl. Na Discount Acer Co. <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1205-Vero Lake Estates Swk-B7th St 101st Ave to CR510 (LAP)\Admim\bid <br />0 <br />