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<br />Attachment E2 <br /> <br />MIAMI-DADE COUNTY DEBARNIENT 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 />l'Z-- ('J ( -z..o r~ <br />(Date) <br /> <br />SUBSCRIBED AND SWORN TO (or affirmed) before me this be day of D~ceM~fZ- <br /> <br /> <br />20~ b by ~O~M.,J S. '6~l.W~ . lie/She <br /> <br />i~ personally known to me or has presented <br /> <br />(Type of Identification) <br /> <br /> <br />'. <br /> <br />Po ~<6loo{ Co <br />(Serial Number) <br /> <br />ignature of Notary) <br /> <br />MMt-ttu> tbet1t-,J wI- <br />(Print or Stamp of Notary) <br /> <br />s 14 (z.vl~ <br />(Expiration Date) <br /> <br />Notary Public - Stamp State of ---fu?V'L-t 1)A- <br />(State) <br /> <br />Notary Seal <br /> <br />O"""~PIl"~ Notal) Public State of Florida <br />~ 1: Mauricio Betancur <br />.,. _ ,.; My Commission 00886076 <br />or/) o. r_o'" Expires 05/04/2013 <br /> <br />5/01 <br />