Laserfiche WebLink
0 <br />Jf��1 <br />F}UNwr <br />.s = <br />V <br />_l <br />'1• <br />�• ar. <br />i5r 4 <br />r' f t � s4 <br />Ctr µ1p <br />/ GI LVy h <br />New York <br />- TATE-C-FLORIDA } <br />COUN7 OF Llne;da <br />ANTI -KICKBACK <br />City of 3unrly Isles Beach <br />I BD70 Canine Avenue <br />Sunny Isles 9eaGA, F L 331ZG <br />T6aphme^_ (SH) 9Z -009 Fax: (SGS)949-3113 <br />ANTI- ICKAAGK 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 Reach or its elected officials as a <br />commission, kickback, reward or gifts directly or indirectly by me or any member of sty firm or <br />by an officer of the corporation. <br />FiitIL.: 'Fite President <br />The foregoing instrument wo - acknowledged before me this day of <br />201 L by [name <br />of ers njr as . U)MA, ' [type of authority], for <br />[name of party on behalf of whom instrument was <br />executed], <br />AFFD( NOTARY STAMP MERE: <br />BRIANNA L. MOYER <br />kataryPub�t Injh� 5;g:e of NexYulik <br />a�alh�d uta��Iac�uue.N a� 1�fl�239453 <br />l�yCamra�a., EaliresOse23, 2Q <br />&taryPub1r1c—S6teaf-FW1dNfN YD <br />Print or Type Commissioned Kame <br />Personally Known ,_.. OR Produced Identification <br />Type of Identification Produced <br />7ot1a <br />