Laserfiche WebLink
s <br />o+ s� <br />N °'•+� <br />�I ,�Iln� + <br />Affidavit of Compliance with Anti -Human Trafficking Laws <br />Cily of Sunny lslns Ronch <br />18070 Collins Avnnuo <br />Sunny lslns Bunch, FL 33100 <br />Tofophune: (305) 947-0606 <br />The undersigned, on behalf of the entity listed below ('Entity"), hereby attests, under penalty of <br />perjury, as follows: <br />1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida <br />Statutes. (Source: § 787.06 (13), Florida Statutes - Human Trafficking). <br />2. The undersigned is authorized to execute this affidavit on behalf f Entity. <br />Date: Dt t.Ev0 Ore_ 74 , 20 1 Signed: P <br />Entity: _Qgnue-Ee Wagcs �9A,nrA (ru Name: 4,,w.J�toNA e. <br />Title: <br />STATE OF�� <br />COUNTY OF Per P <br />The foregoing instrument was acknowledged before me, by means of Vphysical presence or ❑ <br />online notarization, this 94 day of 20 2-S , by <br />AWA�o A tq"&,u4J5-4 as for <br />r�,-W ele uJ QPV_,r � 0AJ, ,,/fie , who is nally know <br />,_meter who has produced — as identification <br />Notary Public Signature: Q-'C��q <br />Print Name: <br />,��iyor� CASEYJOSERDafFlorida.. <br />I+Y •� `F=}} Notary Public • Sta <br />n��/ Commission 4 Hmy Comm. Expires Bonded through Nattona <br />State of Florida at Large (Seal) <br />My commission expires: 4I v �� <br />