Laserfiche WebLink
STATE OF FLORIDA ) <br />) <br />COUNTY OF MIAMI-DADE ) <br />ANTI-KICKBACK <br />C ity of Sunn y Isles Beach <br />18070 Collins A ve nue <br />Sunny Isles Beach, FL 33 160 <br />Telephone: (305) 947-0606 Fax : (30 5) 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 />w ill 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: Luis A. Betalleluz <br />Title: Principal <br />The foregoing instrument was acknowledged before me this 14th day of <br />July , 202.ft_, by Luis A . Betalleluz [name <br />of person], as ..LP....I.JriLLJn.loi.c....,ipC!Oia"-1------------[type of authority], for <br />....:.T..:....:h=e--=B=e=ta=J=o=n,e=s=a_,G=r-"'o=u.:::.p..__. :..:..;ln=c ____ [name of party on behalf of whom instrument was <br />ex ecuted]. <br />AFFIX NOTARY STAMP HERE: <br />MICHELLI LoPEZ <br />Not1ry Public <br />St1te of FlortdJ <br />Comml HH33434 7 ~CE \9'\~ Expires 1/15/2027 Print or Type Commissioned Name <br />Personally Known X OR Produced Identification ___ _ <br />Type of Identification Produced _____________ _ <br />DECEMBER 28, 2010 <br />84 The BetaJones Group/RFQ#26-07-01