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City of La Porte <br />Section 00300 <br />City of La Pore Forms <br />City • La Porte Ordinance #98-2217 prohibits any expenditure • goods • services by <br />the City of La Porte from any person, firm, or corporation owing any delinquent <br />indebtedness to the City. The undersigned respondent further certifies that it is in <br />compliance with the requirements of said ordinance. A copy of the ordinance may be <br />obtained • contacting the City • La Porte Purchasing • at 281-470-5126. <br />If undersigned bidder is not in compliance with Ordinance • it hereby • to <br />the City of La Porte, the amount of its delinquent indebtedness to the City of La Porte, to <br />4;e deducted by the City of La Porte from the amounts due the undersigneiE7 <br />Failure to remit this certification with the response or non-compliance with sa <br />ord inance shall be just cause for rejection or disqualification of submitted proposal. <br />X The undersigned hereby certifies that it is in compliance with Ordinance 98-2217. <br />Or <br />The undersigned assigns to the City of La Porte, the amount of its delinquent <br />indebtedness, to be deducted by the City of La Porte from the amounts due the <br />undersigned. <br />(Initial one of the above) <br />Business Name: W.W. Payton Corporation <br />Address: P.O. BOX 1056 <br />Katy, Texas 77492 <br />Printed Name: Wesley W. Payton 17Tresident <br />Authorized Signature: <br />Date: 6-25-19 <br />