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1717-11-1.21 <br /> 9p111@;j, <br /> JOA MECHANICAL, CONTRACTOR <br /> CM#0008499 CF 40019060 PE 40012743 CC#0014777 <br /> 1510 N.W.79th AVENUE DORAL,FL 33126 <br /> TEL(305)262-0095 FAX(305)597-7020 <br /> Public Entity Crime <br /> Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, <br /> shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of <br /> the entity <br /> has been charged with and convicted of a public entity crime subsequent to July 15t, 1989 <br /> By: <br /> (Sign re) I1 - <br /> VA 4—.Sc) L. <br /> (Printed Name) <br /> VIC - ? - <br /> (Title) <br /> Sworn to and subscribed before me this 6 day of reib/klr$f1.� ,20 /T , by • <br /> i�'f 9 <br /> ;(AFFIX IVOT'ARY STAMP HERE) c <br /> r •'t`7 du,, ' <br /> s 1 Signature. otary Public—State of Florida <br /> Print or Type Commissioned Name <br /> •.Personally Kiown X OR Produced Identification :3i�"'` t JOSE A1J70MOALONSO <br /> is t._ Commission#FF'Jo^3252 <br /> Type of Ideritifi Excites February 22,2018 <br /> YP cation Produced f���;.+' Pa'iEU itfu L;7 F¢T k31t:.ip 9943E5.7019 <br /> 3 <br />