Devorah ZeigerB E A
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeacbtL.aoy
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, l am in compliance
with the affiliation requirement of Miami Beach City Code Sections 2-22 (4) and 2-190.137 as:
~ I am a City of Miami Beach resident for six months or longer.
Home Address: ol rib2 ±c ee
] tam the parent/guardian of a student att endi ng a M iam i Beach school for the 3]Jo ){
sc h o o l year.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
sonator e Date Morch ?d, 30)9
ntea Name )evora ordi on (zin)