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SVFNT �t�ff <br />`z. <br />to *:�o,: <br />STATE OF FLORIDA ) <br />} <br />COUNTY OF Broward <br />ANTI - KICKBACK <br />City of Sunny Isles Beach <br />18070 Collru 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�y me or any member of my firm or <br />by an officer of the corporation. /-I / <br />By: <br />Title: <br />® The foregoing instrument was acknowledged before me this p day of <br />20A/, by LyN Ale6 [name <br />of perso ] as [type of authority], for <br />c,(l ZL 1AIK . [name of party on behalf of whom instrument was <br />executed]. <br />E <br />AFFIX NOTARY STAMP HERE: <br />CHRISTINA OEWDIO <br />NOTARY PUBLIC <br />STATE OF FLORIDA <br />Commit EE876292 <br />EXO" 2/19/2017 <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />N+atalr<yt�Public — State of Florida <br />AeIA <br />r <br />Print or Type Commissioned Name <br />DEcEUaEa 2B, 20710 <br />7 of 10 <br />r e. <br />