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STATE OF FLORIDA <br />COUNTY OF <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 />FINUJIKX��� �W � <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 />The foregoing instrument was acknowledged before me this day of <br />—, 20 �5 , by AUup— [name <br />of person], as —\;Ytt-, [type of authority],, for <br />[name of party on behalf of whom instrument was <br />executed]. <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 10 <br />IN <br />(WAR <br />A <br />G'C"rImi�3Sk 5 0 <br />JOW <br />P 20' <br />15 <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 10 <br />