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2004-229G
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2004-229G
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Last modified
9/27/2016 1:55:43 PM
Creation date
9/30/2015 8:00:51 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/12/2004
Control Number
2004-229G
Agenda Item Number
7.I.
Entity Name
Healthy Start Coalition
Subject
Healthy Families Program
Children's Services Advisory Committee
Archived Roll/Disk#
3223
Supplemental fields
SmeadsoftID
4303
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in -law, son -in -law, brother- in -law, sister-in - law, stepfather, stepmother, <br /> stepson , stepdaughter, stepbrother, stepsister, half brother, half sister, <br /> grandparent , or grandchild . <br /> 6 . Based on information and belief, the statement, which I have marked below is <br /> true in relation to the entity submitting this sworn statement. [Please indicate <br /> which statement applies .] <br /> X Neither the entity submitting this sworn statement, nor any officers , <br /> directors , executives ,. partners , shareholders , employees , members , or <br /> agents who are active in management of the entity, have any relationships <br /> as defined in section 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 of the officers , <br /> directors , executives , partners , shareholders , employees , members , or <br /> agents , who are active in management of the entity have the following <br /> relationships with a County Commissioner or County employee : <br /> Name of Affiliate _Name of County Commissioner Relationship <br /> or enti or employee <br /> XIII <br />
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