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6 . Based on information Selief, the statement, which I have mJ@d below, is true in relation <br /> to the entity submitting this sworn statement. [Please indicate which statement applies . ] <br /> Neither the entity submitting this sworn statement, nor any officers, directors , executives , <br /> partners , shareholders, employees, members , or agents who are active in management of the <br /> entity, have any relationships as defined in section 105 . 08 , Indian River County Code, with <br /> any County Commissioner or County employee. <br /> The entity submitting this sworn statement, or one or more of the officers, directors , <br /> executives , partners , shareholders, employees , members , or agents, who are active in <br /> management of the entity have the following relationships with a County Commissioner or <br /> County employee : <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or entity or employee <br /> ' (Signature) <br /> • 1 nrtoher ,-2003 <br /> (Date) <br /> STATE OF Florida <br /> COUNTY OF T n ci i a n -River <br /> The foregoing instrument was acknowledged before me this 1 Gt _ day of Qcf7 ober , 20n, by <br /> who is personally known to me or who has produced <br /> Drivers License as identification. <br /> NOT Y PUBLIC <br /> SIGN : Q/L � <br /> PRIN Janice S . Greer <br /> State of Florida at Large <br /> My Commission Expires /, ] 0 / 07 <br /> JANICE S. GREER <br /> (Seal * MY COMMISSION II DD 248885 <br /> EXPIRES: September 10, 2007 <br /> oF SWM Bonded Thro Buda Notary Services <br /> • <br /> Page 33 of 48 <br />