Amy Ostroff (2)M IAM I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CINY CLERK
Email: BC@miamibeach[_qoy
Telephone: 305.673.7411
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
2-190.137 as:
[B' 1am a City of Miami Beach resident for six months or longer.
or-.+ '4524 A, Nuht0an /}Ek d1 am the parent/guardian of a student attending a Miami Beach school forthefl3~:14 school
year.
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Under penalties of perjury, I declare that l have read the foregoing document and that the facts
st din it are u
Si Date
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