Hayley Ross (2)1 i
City of Miami Beach
7O0 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CIERK
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.
[ tam a City of Miami Beach resident for six months or longer.
pf)ff \]]I,no-
[]tam the parent/guardian of a student attending a Miami Beach school for the school
year.
School: _
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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D;te I
RECEIVED
JUN 11 2024