HomeMy WebLinkAboutCertificate of Applicant- -- JL.0.1 r%A .3(ii,693g707 NORTH MIAMI F D
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Cftg nf [xtxmi
Kato.) C, HERNANDEZ, ¢r.
City nner r
CITY OF MIAMI
POLICE DEPARTMENT
LAW ENFORCEMENT TRUST FUND
CERTIFICATION OF Af'PLICANT
By signing below r certify that any Law Enforcomcnt Tru.M Fund m.vnicI may rerreive
will be used for an autbari2ed purpose pursuant to Section 932.7055 Florida Statutes. 1
also acknowledge that i am required to provide proper accounting to the Miami, Police
Department for the use of any such monies.
1 am also aware that my program is subject to an audit either by the City of Miami
Department of Internal Audits and Reviews, the Miami Police Departarrent, and/or any
other applicable entity as required, at any time, Failure to provide documentation or
inappropriate use offt nds will adversely affect future requests for fundir .
If requested all o.oct;mcntatian reference expenditures should be presented in person or
forwarded for review to the Miami Police Departments P.O. Box 016777, Miami; FL,
33101. Attention: Business Management Section; once funds are depleted.
Subscribed
-A pf 1 P.
end sworn to before
10CP
, 2007, by
Nine
Title _
Organization
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STATE OF
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MIAMI PC;LI - 1 EPAITbi[N FfP .). BOX 0113777 / ML mi, FInrida 3'i001 1 13:a,) 579.6565
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OPTIONS:
2007 FBINAA TRAINING CONFERENCE
JULY 29 — AUGUST 2.2007
DONATION FORM
Organization: Miami Police Department
Address: 400 NW 2nd Avenue
City:
Miami, FL 33128
Telephone: 305-603-6100
Contact Person: Chief John F. Timoney
$1.000.00 Donation
$2000.00 Donation
$5000.00 Donation
x Donation of $ 3,000.00
Please make checks payable to: FBINAA 2007 Conference
Please mail commitment form, along with checks, to:
Major Donna Kinsey
North Miami Police Department
700 N.E. 120 Street
North Miami, Florida 33161
Unable to donate at this time
If additional information or questions, please contact Major Donna Kinsey at:
(305) 891-0294, ext. 4109 or on her cell at 786-255-6054
APPROVED. . _YES- NO