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<br />MIAMI-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT <br />(Ordinance 93-129, Section I) <br /> <br />I, being duly first sworn, upon oath deposes and says that the bidder of this <br />contract or his age officers, principals, stockholders, subcontractors or their <br />affiliates are not de ed b M' mi-Dade County. <br /> <br />By: <br /> <br /> <br />/0 - / tJ - tJ..:2 <br />(Date) <br /> <br />SUBSCRIBED AND SWORN TO (or affirmed) before me this <br />200~ by LJAv / IJ 5/J-/J1ScJ ~ <br /> <br />/~~daYOf~' <br />@he <br /> <br /> <br />e or has presented <br /> <br />(Type of Identification) <br /> <br />as identification. <br /> <br />~~ <br /> <br />(Signature of Notary) <br /> <br />C!,(!, 9$)f /~b <br />(Serial Number) <br /> <br />~6MA J.I t/4~t?/2;a <br />(Print or Stamp of Notary) <br /> <br />02- ~-O~ <br />(Expiration Date) <br /> <br />Notary Public - Stamp State of ~.-A- ~~ <br />(State) <br /> <br />Notary Seal <br /> <br />~y PI. OFFICIALNOrARYSEAL <br />~~ "8... BARBARAMVALERA <br />o .~ <br />~ ~ ~ COMMISSION NUMBER <br />;. . <( CC908156 <br />~ ~ MY COMMISSION EXP~ES <br />'(I' OFf\.O FEB. 6 2004 <br /> <br />5/01 <br />