Year 2010 temporary budget to make available the ... - Jersey City

12(lS!20B9 11:52. 281-547-5230 lA DEPT PAGE 82/24
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C£1TIFlCA nON OF COMPLJNCE W1 TH CI OF JERSEY crr
Co:NCTORPA Y-To-I'LAVREFORM ORDINANCE 08~ 128 ADOPTD
. . ON SEPMBER i. :!OI
PARTI- Vendor Affrmtion
jglC:bein d.knO\i.~leofthe circumtaus, doe hcby cerfy tb .
¿;H-i ~ J tnaí7 at buiness entity) bas "01 made lUy reorWle
con ibutiOf in th,e "ono-yel' peod preding (date City Counil
a.ward cootract) that would be demed to be violations of Section On of
Contrctor Pay~tO",pillY Rc:for. Ornance 08~128 (lIache hereto) and that w Ihar t a ~¡;r;,J
ofthiscontret. i fu certfy 1lat 4i.ng the term of
(n3lc of
128.
th City of Jereir City'5 - ,.
the cont.' VI 'j I vll
buinss entity) win not ma any fqblc cobutio in violation of Orinance
PART IJ -Signature and Attstation:
The undeigned is tuly aware tha in bave misrepæd in wbole or pan this affrmation and
cettilicaòon~ I and/(lf th business entity, wil be liable for any pealty pcmrted uiider law.
Nam.... . orB.li:=:: 4:t:~~ -t67 / ~J . . .
si~ £';t _ == Tide: 42ep tVEJ ß
PrintNsÌ~. /l/lDatc:¿ló.u= lcffi.
Subs9med and . om bem:me 6 l6r1 CJ f?iì / y&f(-
:t:~:.o . Pi_'_:~.re;A2~~,. .flf~t~Q(/~~_
r:.IßI1'1~ ~ (prillUlØme 8i ùtle ofafllt)
JOHANNA FERMAINT
OTARY PUBLIC OF NEW JERSÐ
!D#2308764
My Commission Exre Deç 20, 20"
".Puuaat to Secton 2 o(Ordinance 08.128. 00 contribution or soticitalìon of
conbu1iom ma pror eo the effeitive date Ordinanre 08- t 28 (Septeber 23, 2008)
"WI be deed to be aviolø.tion oftheo.ir. "'
CO' .. Qf7l7i:L2 : 01. . ønø LS Ul2 N~I~' d S3~~J !WOJ~9t :2T6Ø2-8t-J3C
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