Attachment 2 "Vendor's Certification of Availability of Records for Public Inspection and That State Funds Will Not Be Used for Lobbying" - Florida

This Florida-specific printable "Attachment 2 - Vendor's Certification of Availability of Records for Public Inspection and That State Funds Will Not Be Used for Lobbying" is a part of the legal paperwork issued by the Florida Department of Juvenile Justice.

Download the up-to-date PDF by clicking the link below and mail it as per the guidelines provided by the department.

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Download Attachment 2 "Vendor's Certification of Availability of Records for Public Inspection and That State Funds Will Not Be Used for Lobbying" - Florida

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VENDOR’S CERTIFICATION OF AVAILABILITY OF RECORDS
FOR PUBLIC INSPECTION AND THAT
STATE FUNDS WILL NOT BE USED FOR LOBBYING
FDJJ 1407.04 Attachment 2
As required by 119.01 (3), Florida Statutes, upon receipt of membership dues paid by the Florida
Department of Juvenile Justice to (ORGANIZATION) _________________________, all the financial,
business, and membership records pertaining to the Florida Department of Juvenile Justice held by
(ORGANIZATION)_____________________ shall be public records and made available for public
inspection upon request as required by 119.07 Florida Statute. The membership fee charged to the Florida
Department of Juvenile Justice is for an (check only one) ___ individual or ___ organization membership.
If for an individual membership only, I certify in accordance with 216.345 (2), Florida Statute, that
(ORGANIZATION) ______________________ does not accept or have available organizational
memberships. In addition, the (Organization) ______________________ also certifies that State funds
will not be used for Lobbying any State Agency, State employee or any member of the State Legislature
pursuant to 11.062, Florida. Statute.
__________________________
________________________________
Date:
Signature of Authorized Person
Title ______________________
Print Name:______________________
Subscribed and sworn to before me at: ________________________________ this_________
day of ____________________, _____.
Signature:_____________________________
Print Name: __________________________
Title: ________________________________
Personally Known ____ or Produced Identification ___.
Type of identification produced was _______________________________.
Notary Commission Expires:
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VENDOR’S CERTIFICATION OF AVAILABILITY OF RECORDS
FOR PUBLIC INSPECTION AND THAT
STATE FUNDS WILL NOT BE USED FOR LOBBYING
FDJJ 1407.04 Attachment 2
As required by 119.01 (3), Florida Statutes, upon receipt of membership dues paid by the Florida
Department of Juvenile Justice to (ORGANIZATION) _________________________, all the financial,
business, and membership records pertaining to the Florida Department of Juvenile Justice held by
(ORGANIZATION)_____________________ shall be public records and made available for public
inspection upon request as required by 119.07 Florida Statute. The membership fee charged to the Florida
Department of Juvenile Justice is for an (check only one) ___ individual or ___ organization membership.
If for an individual membership only, I certify in accordance with 216.345 (2), Florida Statute, that
(ORGANIZATION) ______________________ does not accept or have available organizational
memberships. In addition, the (Organization) ______________________ also certifies that State funds
will not be used for Lobbying any State Agency, State employee or any member of the State Legislature
pursuant to 11.062, Florida. Statute.
__________________________
________________________________
Date:
Signature of Authorized Person
Title ______________________
Print Name:______________________
Subscribed and sworn to before me at: ________________________________ this_________
day of ____________________, _____.
Signature:_____________________________
Print Name: __________________________
Title: ________________________________
Personally Known ____ or Produced Identification ___.
Type of identification produced was _______________________________.
Notary Commission Expires:
Clear Form
Save As..
Print
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