6.6. SR 03-01-1993 - Laserfiche WebLink

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I' -. . SHERBURNE COUNTY RELATED PARTY TRANSACTION QUESTIONNAIRE 1. Have you or any related party of yours had any material interest (over $2,000), direct or indirect, in any business transaction with the County since January 1, 1992? YES NO .... ---.............. -- -- ----...... .------...... --- -- --.. ---- ------ --.............. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2. As of today's date do you or any related party of yours have any material interest, direct or indirect, in any pending or incomplete business transaction with Sherburne County? YES NO .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . ........................ ----- ----.... ------.......... -- ---........ .------ .--..............-- .......... --................. ------... -------....... -- ----........ -- --------- -- -- ---... 3. Have you or any related party of yours been indebted to any vendor that you believe the County does business with at any time since January 1, 1992? Please exclude amounts due for purchases on usual trade terms. YES NO ................................. -------....... ------ -- ----- -- --...... .-- --------......... ---- .. ... ... .. .. .. ... ... ... ... ... ... .. .. .. .. ... ... ... ... ... .. .. .. .. .. .. .. ... ... ... ... ... ... .. ... .. .. .. ... .. ... ... ... ... ... ... .. .. .. .. ... ... ... ... ... ... ... ... ... ................................. --.. ----........... ------ --..... --... -- --......... --------..................-- I have answered the above questions correctly to the best of my knowledge and belief. Department Date Your Name (Please Print) . Signature