Brittany Faw (2)M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
M iam i Beach, Florida 33139
RECEIVED
JUN 30 2023
CITY OF MIAM I BEACH
OFFICE OF THE CITY CL ER K
OFFICE OF THE CITY CLERK
Em ail: BC@ m iam ibeachfl.gov
Telephone: 305.673.7 411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH AND THE COMMITTEE
FOR QUALITY EDUCATION IN MIAMI BEACH
As a voting member of the Committee for Quality Education in Miami Beach, I am in
compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4) and
2-19 0 .137 as:
0 I am a City of Miami Beach resident for six months or longer.
Home Address: to (lll11s Ne AX MI@mi Rh, f- 314C
[] 1 am the parent/guardian of a student attending a Miami Beach school tor the 39y school
year.
school: me Mole $Sri Academy a) S1. John5 and Morin Beach Elementor4
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Signature
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Date
Printed Na