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`Vt4NY 154E <br />C <br />� n <br />4+ �S <br />of L➢7. FL0p'`O <br />OF SUN ' <br />STATE OF FLORIDA FL ) <br />COUNTY OF Miami -Dade ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins 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 by me or any member of my firm or <br />by an officer of the corporation. <br />Beatriz Pereira <br />Title: President <br />,The foregoing instrument was acknowledged before me this day of <br />20_Q Q by Beatriz Pereira [name <br />of person], as [type of authority], for <br />Doral Digital Reprographics [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Notary Public — State of Florida <br />tY ^ue MERLYS NUNEZ <br />?�' • �': Notary Public -State of Florida <br />Commission # HN 091898 <br />�'�oFc� My Comm. Expires Feb 11, 2025 <br />8ondedthroughNationalNotaryAssn. Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced I\V 'y 1i an <br />7 of 8 <br />