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(14-07-02) Continuing Professional Architectural and Engineering Services - Individulas Only CCNA
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Last modified
1/7/2015 12:01:39 PM
Creation date
8/22/2014 4:31:20 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Continuing Professional Architectural
Bid No. (xx-xx-xx)
14-07-02
Project Type (Bid, RFP, RFQ)
RFQ
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`ahur „r, <br />tO i <br />STATE OF R -ORIDA <br />COUNTY OF Miami -Dade <br />WIN 111dq14[9yItMHIN <br />City of Sunny Isles Beach <br />1611fOCaara A. <br />Surn, 19x5 E*x .FL 33160 <br />TaI.N. .(30.5)4i]AII` 9FSC (306)9443113 <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 />The foregoing <br />'{y(, usr <br />of person), as _ <br />By: Michael Figueredo <br />Titre: Pri <br />instTr9ent was acknowledged before me this 12- day of <br />20 by AfrcNAEL FJ&&1A' dO0 [name <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: J A <br />Notary Public — State of Florida <br />i Notary Public State of Florida <br />MariselaCorWe- 1J.FJS£1.A Gpr.ip9 <br />My Comnk. EE 219143 <br />Je,t� Enpiree 0M 2016 Print or Type Commissioned Name <br />Personally Known + OR Produced Identification <br />Type of Identification Produced <br />N4'. 21, 0116 <br />or3 <br />
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