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n <br /> 1n <br /> Name o► Affentity <br /> Name of County Commissioner Relationship <br /> or entity <br /> or employee <br /> r <br /> .. (Signature ) <br /> No - a � - ay <br /> STATE OF ( Date ) <br /> COUNTY OF _ <br /> The foregoing instrument was acknowledged, before me this day of 1004 by <br /> .. _ <br /> tinebSP who is personally known to me or who <br /> has produced as <br /> identification . <br /> NOTARY PUBLIC <br /> SIGN : <br /> r. <br /> PRINT : A <br /> State bf Florida at Large <br /> My Commission Expires : <br /> (Seal ) <br /> 4 <br /> TammyA H&"rtl <br /> • ►uty Commission DD040M <br /> of np' Expires August 14, 2006 <br /> iwr <br /> alr k <br /> t <br /> ti <br /> CADocuments and SettingslchrisldLocal Setlings7ernporary Internet Flles\OLK626UEANNE EMERGENCY CONTRACT 2004 .doc <br /> �, 24 <br />