Laserfiche WebLink
SONNY` <br />0 <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 MiAA)- DAM) <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: Q�(_Acc <br />Title: ce lkkc.. ( 0, CA <br />The foregoing instrument was acknowledged before me this '7 7 day of <br />20 AS -by cy /L 9) [name <br />, <br />of person], as _59AVIce gA rVA 0 (fle- [type of authority], for <br />-7&ft,oA Arckg-,C"r e&x44*y-y [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Public <br />Print or Type Co <br />Personally Known K OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />Notary Public - State of Florida <br />Commission # HH 250569 <br />MY COMM Expow; ApF 7. 2026 <br />&Nghleional Notary Assn. <br />