_______________________________

_______________________________

_____________

Florida Department of Education

Instructional Materials Certification

This is to certify that, to my knowledge, no school district employee or representative

participating in activities in any way associated with the Florida Association of District

School Instructional Materials Administrators has received from any vendor of

instructional materials a gift as defined in section 112.312(12)(a), Florida Statutes.

Superintendent’s Signature

School District

Date