Specifications

SECURITY CAMERA SYSTEM UPGRADE AND REPLACEMENT
FOR MONTGOMERY COUNTY DETENTION CENTER
BIDDER’S PROPOSAL BP-11
To the Auditor of Montgomery County:
The affiant, ___________________________________________________________________
(name of person, organization, or company)
located at _______________________________________________________________________
(address)
After being duly sworn, states the following: The affiant, at the time the bid for:
_______________________________________________________________________________
was submitted (check one)
 Was not
charged with any delinquent personal property taxes
on the general tax list of Montgomery County, Ohio
 Was charged with delinquent personal property taxes on the
general tax list of Montgomery County, Ohio, in the principal
amount of $_____________ with the sum of $_____________
added for due and unpaid penalties and interest
Further the affiant sayeth naught.
Sworn to and subscribed by ______________________________________________________
(name of person, organization, or company)
this ______ day of ________________________, ________.
_________________________________________
Signature of person or authorized
representative of affiant
STATE OF OHIO:
COUNTY OF ____________________:
Before me, a Notary Public, on this ______ day of _____________________, _______ ,
personally
appeared
________________________________________________________________________
the affiant in the foregoing affidavit, who acknowledged the signing thereof to be ______
voluntary act and deed.
In testimony whereof, I have hereto subscribed my name and affixed my seal on this day and
year aforesaid.
__________________________________________
Notary Public