Jonathan RothmanMIAMIBE H
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
RECEIVED
AUG 21 2023
CITY OF MIAMI BEACH
OFFICE O F TH E CITY CLERK
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
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,
( check ( ✓) all that apply):
~ I am a City of Miami Beach resident for six months or longer.
Home Address: 20wshin@ton Ao.Miami"ooh."3313%
[] 1am the parent/guardian of a student attending a Miami Beach school f6, +4,2023-202%43ol
year.
sc oot "ow"oic "emar·oo
Under penalties of perjury
stated in it are true.
at I have read the foregoing document and that the facts
8/21/2023
Signature
Jo n a th a n R o th m a n
Date
Printed Name