Format For Authorization Letter
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1City of Miami Beach
Non-Profit Lottery
FORMAT FOR AUTHORIZATION LETTER
(1) Your organizations letterhead
Date(2)_________
To:
The City of Miami Beach
Finance Department
Revenue Supervisor
From:
(3)_____________________
_____________________
_____________________
Re:
(4)Authorization Letter
Non-profit lottery drawing for period of
______________________
This is to certify that (5)___________________ represents this organization
PRINT FULL NAME
as the authorized agent/representative in charge of vending or distribution
for the above period.
(6)______________________
Authorized Director/Officer of Organization
(7)_____________________
Print Name
:
(8)NOTARY
SUBSCRIBED AND SWORN TO ME THIS_____OF_____________________
_______________________________MY COMMISSION EXPIRES:__________
(9) NOTE: A COPY OF THE VENDOR/DISTRIBUTOR’S PHOTO
IDENTIFICATION AND SOCIAL SECURITY CARD MUST BE
ATTACHED
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Parent category: Letters