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E � ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> "" 18070 Collins Avenue <br /> s* .« ' Sunny Isles Beach,FL 33160 <br /> *(.1 '"or 50,0;tom Telephone:(305)947-0606 Fax (305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF i`(1 1 -O ) <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: c h 1(', (fACUkr- <br /> Title: r031930 <br /> The foregoing instrument was acknowledged before me this 2 - day of <br /> 5-P c va,hf r . , 20 IQ , by , -einr-il ztta l [name <br /> of person], as +May 'vc1eC [type of authority], for <br /> ProPe- u -brrtor►cl wrriovrct Lu [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: <br /> tary Pu is — S to of Florida <br /> eN. Notary Public State of Florida <br /> Lucy Prosperr <br /> of I MY Commission GG 343078 <br /> o►w Expires 08/04/2023 Print or Typd Commissioned Name <br /> Personally Known OR Produced Identification <br /> Type of Identification Produced <br /> DECEMBER 28,2010 7 of 8 <br />