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Name of Affiliate Name of County Relationship <br /> • or Entity Commissioner or employee <br /> 1 . <br /> 2 . <br /> 3 . <br /> 4 . <br /> 5 . <br /> 6 . <br /> 7 . <br /> 8 . <br /> G <br /> (signature) Law ence _ Myers <br /> April 2 , 2003 <br /> (date) <br /> STATE OF Florida <br /> COUNTY OF Indian River <br /> Personally appeared before me , the undersigned authority , Lawrence J . Myers <br /> who after first being sworn by me , affixed his/her signature in the space provided above on this <br /> 2nd day of April 20 03 <br /> tary Public , State at larg ,� Jean Carbcno <br /> *COMMISSION DD180550 <br /> y Commission Expires : '`` BONDED TNMarch8, 2007 EXPIRES <br /> RU ROY FAIN INSURANCQ INC <br /> • * * END OF SECTION <br /> 00452 - Disclosure of Relationships <br /> 00452 - 2 <br /> F:\Utililles\UTILITY - ENGINEERING\Pro(ects - Assessment Projects\West Side Subdivision - UCP82177\Bld docs\specs\00452 - Disclosure of Relationships.doc <br /> Rev. 05/01 <br />