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SVNhIY +s<F.0 <br />O� <br />U <br />4L <br />r�)Yor suN',,o <br />STATE OF FLORIDA ) <br />COUNTY OF > r� ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33150 <br />Telephone: (305) 947-0005 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 member of my firm or <br />by an officer of the corporation. <br />Title: ''h.c� �< �;� �� f" c�ac.�^e�P / L' Ar-fTle r <br />The foregoing instrument was ackno ledged , before me this 05 day of <br />,Ta , 2022L, by _ idle. .CLMVI [name <br />of person], as p �Q +--. [type of authority], for <br />,-g- AlnumeP"ga -MSR, L.Le— [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Isabel Beia=0 <br />ItNOTARY PUBLIC <br />STATE OF FLORIDA <br />Comm GG915775 <br />, Expires 912312023 <br />744Q � <br />Notary c — tate of Florida <br />�� (?PMVV_aGGQk'n'-N5 <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identificatio�� <br />Type of Identification Produced -IRD-f <br />DECEMBER 28, 2010 <br />