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STATE OF FLORIDA ) <br />COUNTY OFA <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Co16nsAvenue <br />Sunny Ides Beach, FL 3316D <br />Telephone: (305) 947-0606 Fax: (305) 9493113 <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 />By: ) h9o %VMIMVJ— <br />Title: <br />per <br />The foregoing instrument was acknowledged before me this _ day of <br />2023L, by 0)rkskonba-- luel,-irx%n n [name <br />Of person , as�ri•�ncrm n1i ►� [type of authority], for <br />[name of party on behalf of whom instrument was <br />executed]. <br />AFFDC NOTARY STAMP HERE: <br />DIANA MARIA FERRARA <br />Notary Publio•State of FlorWe <br />-Notary <br /># HH 210965 <br />r <br />My Commission Expir*9 <br />December 26, 2025 <br />Notary Public — Slate of Florida <br />Print or Type Commissioned Name <br />Personally Known &U, OR Produced Identification <br />Type of Identification Produced h ,,r",; �- 113 =39-34 , Q <br />DECEMBER 28, 2010 <br />