HomeMy WebLinkAboutexhibit7MIAM1-DADE COUNTY DEPARTMENT OF CULTURAL AFFAIRS
GRANTEE
BANK ACCOUNT DISCLOSURE FORM
DESIGNATED BANK IN WHICH
GRANT FUNDS WILL BE KEPT
ADDRESS
ACCOUNT NUMBER
PERSON(S) AUTHORIZED TO WITHDRAW FUNDS OR TO WRITE CHECKS:
TITLE
TITLE
TITLE
Submitted by:
(Signature)
(Printed Name)
(Date)