Faiza LibanCity of Mini Recs
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email:
Telephone: 305.673.7411
RECEIVED
st 26 2023
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OFFICE OF THE CITY G
AFFIDAVIT OF AFF ITION WITI IE CITY OI MI BI CH AND THE COMMITTEE
OR QUALIT EDUCATION 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:
{] lam a City of Miami Beach resident for six months or longer.
Home Aaaress: 521 l41"" S1._ 1, , 32140
[±Tam the parent/guardian of a student attending a Miami Beach school for the 2lzf school
year,
school: T! EA St._ @H6-t±
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
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Signa
FA«Zs Lal
Printed Name
Date
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