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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 />By: <br /> <br /> <br />~/ <br /> <br />AIoV~/tIb~/ if POlE <br />I <br />(Date) <br /> <br />SUBSCRIBED AND SWORN TO (or affirmed) before me this \ 14v) day of N Dvem be,- <br /> <br />2005 by <br /> <br />N D(()\Qn ~. t:: c\e..\ eLl p <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 />~~I~ W~ <br />(Signat re of Notary) <br /> <br />DD 133 '148 <br />(Serial Number) <br /> <br />~s~ \\C\ 'Y\C-y WC\.\tEif <br />(Print or Stamp of Notary) <br /> <br />~vl E;;)4 .}..DO (P <br />( xpira{ion Date) <br /> <br />Notary Public - Stamp State of A orl do.... <br />(State) <br /> <br />Notary Seal <br /> <br />, RI'P-'-- ~--: ' <br />o"'~f.I~ " 01 t~M~' <br />~ ~''!l. (, ~ PR1SC/U,ATYLERWAlKEFl] <br /> <br />... .K~ :t COMMISSION NUMBeR,' <br />'1- ~,~ 00133748 <br />OF FI.. oq.; MY COMMISSION EXPIRES <br />--.dID 24.2006 <br />--""""Ill""""" <br /> <br />5/01 <br />