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O� Sup1NY is <br />�p D9�• FLOA�OP y�' <br />C'tY OF SUN na0. <br />STATE OF FLORIDA ) <br />COUNTY OF MvaiW-pgA& ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (306) 947-0806 Fax: (306) 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 />1-2 <br />Title:Yc�`.c^ <br />The foregoing instrument was 'acknowledged before me this :31 sr day of <br />��—A ' 20 2z., by L Ss 66Ire� [name <br />of persona, as �, �► ��ss u� hcrt- [type of authority], for <br />L( ► i'.n-t �2fn� �Nc- [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />I�,.` NORBERTO ! PEREZ•80RROT0 <br />., Notary Public - State of Florida <br />0'•.4 � 4 " Commission M HH 008101 <br />My Comm. Expires Jul 14, 2024 <br />i <br />N Public — State of Florida <br />or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />7of8 <br />