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STATE OF FLORIDA ) <br />COUNTY OF AjE ) <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 me4,0),frm or <br />y an officer of the corporation.By: <br />Title: / de'e�t <br />foregoing instrument wa <br />'�f_, 20-101 by. <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />�.V^� <br />Nalsry Pu0lic Style of Florida <br />Sytlney Herrera <br />Commis 43073 <br />"•oia� <br />Ex <br />Espues 1010/120234/2023 <br />G, <br />s ac we ed before me this day of <br />e�'?P7fz [name <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br />ary is — State of Florida <br />Print Type Commissioned Name <br />Personally Known c/ OR Produced Identification <br />Type of Identification Produced <br />oeca�een za, zoto 7 of 8 <br />