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STATE OF FLORIDA ) <br />COUNTY OF iit.tm 9RLLCfr) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI -KICKBACK AFFIDAVIT <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or Its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br />by an officer of the corporation. <br />By: <br />Title: l� e—fin / <br />The foregoing instrument was acknowledged before me this 2-� day of <br />[2,lJojY , 20�, by SveeYr SCkine•cle/- [name <br />of person], as Me11r1,,Le ' [type of authority], for <br />W&2S e.roic. 4-laltnn'r. Cola V sCyrr,n.-, [name of strument was <br />executed]. +_ti., AMY LYNN WITKOWSKI <br />'slur,, Notary Public - State of Florida <br />a; <br />it 'F Commission it GG 181673 <br />•'.:y My Comm. Expires Feb 1,2022 <br />AFFIX NOTARY STAMP HERE: "'''''Hnndedmrn9gb National Nou9yAssn. <br />Personally Known X <br />Type of Identification Produced <br />OfCEMaEft26, 2010 <br />Notary Public -- State of Florida <br />Print or T pe Commissioned Name <br />OR Produced Identification <br />