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SUNNY �S�F <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />'• 18070 Collins Avenue <br />,'"• tiF i99' • i•o w`ov h,Y V . Sunny Isles Beach FL 33160 <br />v� v <br />u cr`` orsuµ'` Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI <br />4P, -KICKBACK AFFIDAVIT <br />I14 STATE OF FLORIDA ) <br />14"' COUNTY OF NiiarKi- fade) <br />A: 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 />.t. <br />Title:/�0�/17` <br />The foregoing instrument was acknowledged before me this 7_6+4 day of <br />I�oy&M(oer 20 3 , by Tdin act`o >A!pt t,,ra. [name <br />of person), as [type of authority], for <br />Tortivint)/' [name of party on behalf of whom instrument was <br />e cuted]. <br />AFFIX NOTARY STAMP HERE: <br />y ' ' 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. Jer ; A10< <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced F U Obi ✓ e.rs <br />DECEMBER 28, 2010 <br />295 <br />