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l�. <br />�� <br />Ib(F�9 <br />SUNNY <br />O� <br />;n <br />99)`�FSOµ�C <br />r. <br />i <br />SF ybt <br />�• r <br />�rTy �°�� <br />or• suN <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 />STATE OF FLORIDA ) <br />COUNTY OF Mi'4mi- �ccle) <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: <br />Title: (%�lLQS40494 <br />The foregoing instrument was acknowledged before me this 7-8+k day of <br />Nov,fimber, 2023 , by Tanacr`o > !m1 k ra [name <br />of person, as S e, IT— <br />[type of authority], for <br />Tornainn; / [name of parry on behalf of whom instrument was <br />e cuted]. <br />AFFIX NOTARY STAMP HERE: <br />�p0 AGd JOSE JAIMES <br />_ Notary Public, State of Florida <br />Commission# HH 323046 <br />My comm. expires Oct. 17, 2026 <br />tary P b c —State of Florida <br />Jose, Ja t tIg <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced F L, Demi vers L c GyLfL <br />DECEMBER 28, 2010 <br />