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1 <br />t <br />e <br />0 <br />STATE OF FLOKIDA <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />10070 C r.ns Avonuc <br />Sunny Isles Beach. FL 331N <br />Telauhane: (366) 347.0606 Fax: (305) 94 9.3113 <br />ANTI -KICKBACK AFFIDAVIT <br />COUNTY OF <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! vice Presildeni/Secreiaryffreasurer <br />e foregoingr r <br />instru �ent was acknowledged before me this _X day of <br />20 by KRRy Fut!rnps [name <br />of pe t], <br />as vicepresiLienysecieiojyiTreasurer [typ[typeof authority], for <br />RRC EmPrgP.Smicm. LLG [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Notary Public — State lotida <br />Print or Type Commissioned Name <br />f <br />Personally Known OR'Produced Identification <br />Type of Identification Produced <br />r of 10 <br />121 <br />ARY A. DES R CHES <br />NOTARY PUBLIC <br />Stem of Louisiana, Bar No. 19560 <br />P,jy.C,9mmlSSIDWis for tie <br />yuynr rtes <br />r <br />.o° <br />' - t <br />U :Y ; <br />•Q <br />C•�• OI�OV � <br />1 <br />t <br />e <br />0 <br />STATE OF FLOKIDA <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />10070 C r.ns Avonuc <br />Sunny Isles Beach. FL 331N <br />Telauhane: (366) 347.0606 Fax: (305) 94 9.3113 <br />ANTI -KICKBACK AFFIDAVIT <br />COUNTY OF <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! vice Presildeni/Secreiaryffreasurer <br />e foregoingr r <br />instru �ent was acknowledged before me this _X day of <br />20 by KRRy Fut!rnps [name <br />of pe t], <br />as vicepresiLienysecieiojyiTreasurer [typ[typeof authority], for <br />RRC EmPrgP.Smicm. LLG [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Notary Public — State lotida <br />Print or Type Commissioned Name <br />f <br />Personally Known OR'Produced Identification <br />Type of Identification Produced <br />r of 10 <br />121 <br />ARY A. DES R CHES <br />NOTARY PUBLIC <br />Stem of Louisiana, Bar No. 19560 <br />P,jy.C,9mmlSSIDWis for tie <br />