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Name of Affiliate Name of County Relationship <br /> or Entity Commissioner or employee <br /> 1 . <br /> 2 . - <br /> 3 . <br /> 40 <br /> 5 . <br /> 6 . <br /> 7 . <br /> 8 . <br /> (signature) -- <br /> (date) <br /> STATE OF <br /> COUNTY OF <br /> Personally appeared before me , the undersigned authority, <br /> who after first being sworn by me , affixed his/her signature in the space provided above on this <br /> day of 920 <br /> Notary Public, State at large <br /> My Commission Expires : <br /> * * END OF SECTION <br /> 00452 Disclosure of Relationships <br /> FAUtilities\UTILITY - ENGINEERING\Projects - Utility Construction Pets\IRC - Labor Contract RE-BID for 2005.2006\BID DOCUMENTS - USE ONLY FOR THIS <br /> PROJECT\BID DOCUMENTS\00452 Disclosure of Relatlonships.doc Rev, 05/01 <br />