Affidavit of compliance with section 2-11.1(bb) Tobin er.t
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AGE
MIAMI-DADE COUNTY COMMISSION ON ETHICS & PUBLIC TRUST
AFFIDAVIT ATTESTING TO COMPLIANCE WITH SECTION 2-11.1 (bb) OF THE
MIAMI- DADE COUNTY CONFLICT OF INTEREST AND CODE OF ETHICS ORDINANCE
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I � b n , having been duly elected to serve as C0 Ill yr 1 �S 10 n-e_)'
(print or type name) (Title)
in the city/town/village of INA I C vy) ( 6eaGkdo hereby depose under oath or affirmation, that I have read
the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance and agree to comply with the
provisions of said ordinance.
I
Signature of e ecte s-_• 'la Date
STATE OF FLORID r
COUNTY OF M(- t DAVG
Sworn c:1_.4,gr affirmed)a ld subbc ibed b ore me
this ay of I3 -IA '
20 I ,
by ED 1013)hl
: •f Per soy ak''t tatement)
(=�natur of Notar eV , State of Florida)
PAN • • r11 k 1
(Print,Type,or Stamp Commj,sioned Name of Notary Public)
Personally known to me ✓
or
Produced Identification
Type of Identification Produced:
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#; EE 118739
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