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�r / <br />r <br />LJ <br />SVN.ri 14,F <br />V S <br />STATE OF FLORIDA ) <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. 11� <br />a <br />FAIR, NCARB <br />Title: <br />The foregoing instrument was acknowledge-d' before me this 12th day of <br />August , 2014 , by 20 Frvr G C 1 f r-� l L •" [name <br />of person], as t1�t -,DAt [type of authority], for <br />fL-= .Gi{y,ljo� kn-c(41 <- -Xis [name of party on behalf of whom instrument was <br />executed]. A <br />Jacqueline C. Rasco N <br />ar' A _M4,t.IS510NIEE124579 <br />LX.;,_S: AUG. 23,2015 <br />�,,.•• N AWAA30NNOTARY= ja <br />— State of Florida <br />line C. Rasco EE124579, Expiration 8.23.15 <br />or Type Commissioned Name <br />Personally Known y OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 2e, 2010 <br />7 of <br />