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The person or affiliate has not between placed on the convicted vendor list. (Please <br /> describe any action taken by or pending with the Department of General Services . ) <br /> / a � <br /> Fred D . Fox ( Signature) <br /> Date : 8 J005 <br /> STATE OF FLORIDA <br /> COUNTY OF PUTNAM <br /> PERSONALLY APPEARED BEFORE ME, the undersigned authority, Fred D . Fox, who, after first being sworn <br /> by me, affixed his signature in the space provided above on this at' day of T A X19 U Sf 12005 . <br /> NOTARY PUBLIC <br /> My Commission Expires : <br /> !, MEI" N. FOX <br /> MY COMMISSION N DD W071 <br /> EXPIRES: October 28! 2006 <br /> 8ord1e 7ft Novy PWk UMYiweNa <br /> 26 <br />