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<br />Attachment D2 <br /> <br />MIAMI-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT <br />(Ordinance 93-129, Section 1) <br /> <br />I, being duly first sworn, upon oath deposes and says that the bidder of this <br />contract or his agents, officers, principals, stockholders, subcontractors or their <br />affiliates are not debarred by Miami-Dade County. <br /> <br /> <br />November t~,~4 <br />(Date) <br /> <br />SUBSCRIBED AND SWORN TO (or affirmed) before me this \ ~~ day of No"~ b.e-r- <br /> <br />200~ by <br /> <br />NO(m(l.f\ <br /> <br />. He/She <br /> <br />is personally known to me or has presented <br /> <br />(Type of Identification) <br /> <br />as identification. <br /> <br />~.J)Q... T ~ ..u~ <br />(Signat of Notary) <br /> <br />t::>o \ o~., ~ 'i? <br />(Serial Number) <br /> <br />~;~~\\'" 'Yl~W4.\~ <br />(Print or Stamp of Notary) <br /> <br />q"u\'f ~~l .;>004- <br />(Expiration Date) <br /> <br />Notary Public - Stamp State of ~\or'cl.~ <br />(State) <br /> <br />Notary Seal <br /> <br /> <br />5/01 <br />