power of attorney (limited) - miami-dade county · miami, florida 33136 (786) 469-2300 for-hire...

Department of Transportation and Public Works For-Hire Transportation 601 NW 1 st Court, 18 th floor Miami, Florida 33136 (786) 469-2300 For-Hire Vehicle Inspection Station 2615 NW 10 th Avenue Miami, Florida 33127 LIMITED POWER OF ATTORNEY BE IT ACKNOWLEDGED, that I ________________________________________________________________ of (Name and title) _____________________________________________ , in ______________________________________, the (Company) (City and state) undersigned, do hereby grant limited and specific power of attorney to ________________________________ (Name) Located at ________________________________ as my attorney-in-fact. Said attorney-in-fact shall have (complete street address) full power and authority to undertake and perform only the following acts on my behalf and/or on operation of For-Hire License No.(s) _____________________________________________________________________ My attorney-in-fact agrees to accept this appointment subject to its terms and agrees to act and perform in said fiduciary capacity consistent with my best interest as my attorney-in-fact in its discretion deems advisable. This power of attorney is effective upon execution and shall be valid for a period of time not to exceed 11 months. This power of attorney may be revoked by me at any time, and shall automatically be revoked upon my death. Signed under seal this _________ day of ________________, 20_____. _____________________________________________ (Signature of permit holder) STATE of Florida COUNTY of Miami-Dade On the ________ day of __________________, 20________, before me the undersigned authority, personally appeared ___________________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscriber to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature__________________________________ Affiant ____ Known____ Product ID (Notary) Type of ID ___________________

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Page 1: Power Of Attorney (limited) - Miami-Dade County · Miami, Florida 33136 (786) 469-2300 For-Hire Vehicle Inspection Station 2615 NW 10th Avenue Miami, Florida 33127 LIMITED POWER OF

DepartmentofTransportationandPublicWorks

For-HireTransportation 601NW1stCourt,18thfloor Miami,Florida33136

(786)469-2300

For-HireVehicleInspectionStation2615NW10thAvenueMiami,Florida33127

LIMITEDPOWEROFATTORNEYBEITACKNOWLEDGED,thatI________________________________________________________________of (Nameandtitle)

_____________________________________________,in______________________________________,the (Company) (Cityandstate)

undersigned,doherebygrantlimitedandspecificpowerofattorneyto________________________________ (Name)

Locatedat________________________________asmyattorney-in-fact.Saidattorney-in-factshallhave (completestreetaddress)

fullpowerandauthoritytoundertakeandperformonlythefollowingactsonmybehalfand/oronoperationofFor-HireLicenseNo.(s)_____________________________________________________________________

Myattorney-in-factagreestoacceptthisappointmentsubjecttoitstermsandagreestoactandperforminsaidfiduciarycapacityconsistentwithmybestinterestasmyattorney-in-factinitsdiscretiondeemsadvisable.Thispowerofattorneyiseffectiveuponexecutionandshallbevalidforaperiodoftimenottoexceed11months.Thispowerofattorneymayberevokedbymeatanytime,andshallautomaticallyberevokeduponmydeath. Signedundersealthis_________dayof________________,20_____. _____________________________________________ (Signatureofpermitholder)

STATEofFloridaCOUNTYofMiami-DadeOnthe________dayof__________________,20________,beforemetheundersignedauthority,personallyappeared___________________________________,personallyknowntome(orprovedtomeonthebasisofsatisfactoryevidence)tobetheperson(s)whosename(s)is/aresubscribertothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument. WITNESSmyhandandofficialseal.Signature__________________________________Affiant____Known____ProductID (Notary)

TypeofID___________________

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First posted online on 7 March 2019 as 10.1242/jeb.198622 ...Human Genetics and Genomics, University of Miller School of Medicine, Miami, Florida, 33136 * Corresponding author: Catherine

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2014-2015 ANNUAL REPORT - miamidade.gov · 2014-2015 ANNUAL REPORT 701 NW 1 st Court, 9th Floor, Miami, Florida 33136 Telephone: (786) 469-4622 Fax: (786) 469-4756 ... The funding

Industrial Waste Pretreatment Program Miami, Florida 33136 ... · Department of Regulatory and Economic Resources . Environmental Resources Management 701 NW 1st Court • 7th Floor

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