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.o� y`)NNY IS,�,sd <br />foe 99?• FL0A"6r'Q't <br />c�rY OF 14n <br />STATE OF FLORIDA ) <br />COUNTY OF UUt,IMI <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (805) 947-0606 Fax: (305)94M113 <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: NEC"�FllG` VAi XNC,1A <br />Title:'E''es 1 l:?m-1 <br />The foregoing instrument was acknowledged before me this TZ day of <br />M N-4 , 20 ' , by [name <br />of person] as _I CAMt [type of authority], for <br />A [name of party on behalf of whom instrument was <br />execute ge G 6 , i MCI . <br />AFFIX NOTARY STAMP HERE: <br />Notary Public State of Florida <br />Adnana f7i)o <br />MY Cant ,on HFI 005456 <br />R <br />SxPues 05"3 t'Z-074 <br />NotaryPublic — State of Florida <br />Mda(In (24b <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification ✓ <br />Type of Identification Produced PeKt-r-S U 00-nSC -*t/-052-02-; -7c <br />7of8 <br />t"rms44xA1Lo_7_r4r6Par- --fpwirj) -4 recoltrq JC <br />Rf;o k 23 - 65'-ol <br />