Laserfiche WebLink
I • <br /> 1oNM♦tic, <br /> . ', ANTI - KICKBACK <br /> tr.iV, <br /> �O� <br /> • h a, .; z <br /> City of Sunny Isles Beach <br /> I \r\ 18070 CdGns Avenue <br /> s. 5•:i. <br /> Eo�ro Sunny Isles Beach,FL 33160 <br /> 0 S. <br /> "�o, .v '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> IANTI-KICKBACK AFFIDAVIT <br /> ISTATE OF FLORIDA ) <br /> ) <br /> l <br /> es <br /> COUNTY OF Miami-Dade ) <br /> I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br /> I 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 /> I By: '2 r, '! <br /> ITitle: <br /> • Partner <br /> I DeceTher foregoing 2O1 S <br /> instrument was acknowledged before me this 28 day of <br /> 20 ; by Andrew S. Herman [name <br /> I of person], as <br /> Alberni Caballero & [type of authority], for <br /> Herman, LLP [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: /, <br /> / _s/me- <br /> -I .;;;• MANIBELCASANOVA <br /> 09119 , No •: ry •ublic — State of Florida <br /> '!i` •' MY COMMISSION i FE 091191 <br /> 1. :a= EXPIRES:February 10,2018 <br /> . y?fi•F4' Bonded Thu Notary Pu'nc Underta Et <br /> Print or Type Commissioned Name <br /> • <br /> I Personally Known OR Produced Identification <br /> Type of Identification Produced <br /> OR <br /> • <br /> I <br /> IDECEMBER 28,2010 7 of 7 <br /> 1 <br />