Municipal Parking Fines Reimbursement Program ( C)
MUNICIPAL PARKING FINES REIMBURSEMENT PROGRAM
AFFIDAVIT
State of Florida County of
BE F ME, the undersigned Notary,
P�� [name of Notary
before whom affidavit is sworn], on this � ` [day of month]day of
Oc y bwe—1 [month], 20_L�- , personally appeared
J L . c�.(�SL.S [name of affiant],
known to me to be a credible person and of lawful age, who being by me first duly
sworn, on l/l S [his or her] oath, deposes and says:
The municipal' parking fines funds reimbursed shall be used to improve
accessibility and equal opportunity to qualified persons who have disabilities in
the municipality and to conduct public awareness programs in the municipality
concerning persons who have disabilities.
If only a portion of the project or program is being promoted to benefit people
with disabilities, then only that portion of the project or program will be funded
with these monies.
The municipality shall return funds to the Clerk of the Board of Miami-Dade
County Commissioners if the project is not successfully completed and allow the
Miami-Dade County Internal Services Department to audit projects and conduct
site visits. Any such audits or inspections shall be conducted in such manner and
at such times so as not to nreasonably interfere with the day-to-day operation of
the parti
[signatu of affiant
Jimmy L. Morales
[typed name of affiant]
1
(�l �o
[address of affiant, line 1]
fV4 �313 �
[address of affiant, line 2]
State of Florida, County of I u �
Sworn to (or affirmed)and subscribed before me this day of
D G � (month), 4 (year), by
Y� a (name of person making statement).
(Signature
PY�F'ys NAIMA DE PINEDO
' MY COMMISSION 4 FF 126641
i' EXPIRES:September 26,2018
Bonded Thru Notary Public Underwriters
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
2