Laserfiche WebLink
<br />AUTHORIZATION FOR RELEASE OF INFORMATION <br /> <br />To whom it may concern: <br /> <br />The undersigned hereby authorizes you to release to the City any information in your <br />possession regarding the undersigned either of a professional credit or personal nature <br />including the statement of your opinions with regard to the undersigned's professional <br />credit and personal character. <br /> <br />By: <br />STATE OF FLORIDA <br />COUNTY OF <br /> <br />THE FOREGOING INSTRUMENT was acknowledged before me this _day <br />of 2010, by who is <br />personally known to me or who has respectively produced as identification and did not <br />take an oath. <br /> <br />Notary Public: <br />Print Name: <br />Commission No.: <br />(SEAL) My Commission Expires: <br /> <br />Name: <br />Home Address: <br />Home Telephone Number: <br />Business Telephone Number: <br />Fax Number: <br />Date of Birth: <br />Professional License Number: <br /> <br />RFP Aquatic Entertainment Center <br /> <br />21 <br />