Laserfiche WebLink
<br />.- <br /> <br />Attachment E2 <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 />'Jj1t/~ ( z,/ t 1 / Oar <br />(Signature of Affiant) (Date) <br /> <br /> <br />SUBSCRIBED AND SWORN TO (or affirmed) before me this If r.tday of DeC&;vf~~ <br /> <br />200.:1. by N.otWl 14--' ~. €"J::>~L t,u f' . He/She <br /> <br />is personally known to me or has presented <br /> <br />(Type of Identification) <br /> <br /> <br />~ <br /> <br />Db ~~7~ <br />(Serial Number) <br /> <br />~1 '''8 NJSJ.llhatu~ ~jiWtlJtar <br />~~ ~ MaurlCi'OBelencur <br />. . ,~My CommlnlQn 00085076 <br />~; '~Q Explrea 05/0-4/2013 <br />0'''' <br /> <br />(print or Stamp of Notary) <br /> <br />< /4/ z.-o(~ <br />(Expiration Date) <br /> <br />Notary Public - Stamp State of _ft..o~ t>4- <br />(State) <br /> <br />Notary Seal <br /> <br />5/01 <br />