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Name of Affiliate Name of County Relationship <br /> or Entity Commissioner or employee <br /> 1 . <br /> 2 . <br /> I <br /> 4 . <br /> 5 . <br /> 6 . <br /> 7 . <br /> 8 . <br /> (signature ) <br /> 5�- zG - oq <br /> ( date) <br /> STATE OF 0 /L l . �`✓ <br /> COUNTY OF �rly d r jjej 7 V r" C <br /> The foregoing instrument was acknowledged before me this day 7of <br /> 11AA 1200t ( by � ) d y au& 6 GL ( 1C k �'Y es i f ril of <br /> u who is ersonally known to me or <br /> has produced is identification . <br /> Notary Public JU444 - - eltte (affix seal ) <br /> M Commissi n Expires : <br /> My ti�"Y pert 5U6AN E. REAVES <br /> ' * My COMMISS19N # DD 596051 <br /> ` EXPIRES: November 16 , 2010 <br /> 0r,T6 of F`oQc Bonded Thou Budget Notary Services <br />