Audiovox AOM-713WP Specifications download pdf (Page 166)

Proposal Number PSDF #P09-0004

VENDOR'S AFFIDAVIT

(This Affidavit is Part of the BID)

STATE OF __________________________________________

COUNTY OF __________________________________________

Being duly sworn, deposes and says that he resides at ________________________________________

______________________________________________________________________________________

that he is the___________________________________________________________________________

(Give Title)

______________________________________________________________________________________

who signed the above Proposal, that he was duly authorized to sign, and that the PROPOSAL is the

true offer of the VENDOR and that all the declarations and statements contained in the PROPOSAL

are true to the best of their knowledge and belief.

__________________________________

(Affiant)

Subscribed and Sworn to before me this _________ day of ____________________________,20_____.

_________________________________

(Notary Public)

My Commission Expires __________________________, 20_______.

(SEAL)

B-4

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Audiovox AOM-713WP Specifications Page 166