Laserfiche WebLink
STATE OF FLORIDA ) <br />COUNTY OF Z& clee ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0608 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. <br />By: <br />Title:Y- <br />Th foregoing instrument was ac nowledg d before me this 7- day of <br />00701 2 20 25 b[name <br />of person], as G/ty' [type of authority], for <br />V Es�,si:xerzirrj ,a • [name of party on behalf of whom instrument was <br />AFFIX NOTARY STAMP HERE: <br />Notary Public State of Florida <br />AL Felix R Clavelo Lopez <br />1; <br />lift My Commission HH 320488 <br />Expires 1011 012 0 2 6 <br />Notary Publi — State of Florida <br />Print or Type Commissioned Name <br />i <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER2e, 2010 <br />