Laserfiche WebLink
SVpNy <br />u = <br />L O'6 y� <br />0 <br />Orr or SON�N <br />STATE OF FLORIDA ) <br />COUNTY OF Pa ) <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. `1 <br />_ I t <br />BY: i�t�Lrn-bpi 1 SGC e. <br />Title: <br />The foregoing instrument was acknowledged before me this day of <br />202,u , by (-M&e . L.a. +► Ifr�-2' [name <br />of person]—, as C-"1,3P.e-' [type of authority], for <br />, W a-tefl Ouf:t.1 cz:P-«,>tzz i L c' [name of party on behalf of whom instrument was <br />executed]. <br />AFFD(NOTARY STAMP HERE: <br />1'►Y u'• KEVIN DED <br />Notary Public • S <br />i <br />Commission dOFA`•" My Comm. Expir <br />Notary Public - State of Florida <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced I✓LD L., t' 3 GY,Y 0 901 IHI a <br />DECEMBER 28,2010 <br />