Laserfiche WebLink
1 <br /> Ni, <br /> SJ��FJ <br /> .j ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> • 18070 Collins Avenue <br /> 4: o,oa+ Sunny Isles Beach,FL 33160 <br /> ' o, sus '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA <br /> COUNTY OF Broward ) <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: 7 <br /> Title: President <br /> • The foregoing instrument was acknowledged before me this 3 day of <br /> mALi , 20 /ea, by Michael R. Fawley [name <br /> of person], as President [type of authority], for <br /> Sun-Tech Engineering, Inc . [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERc11111 <br /> 0r_Tay/oma <br /> 1fes Notary'P� State of Florida <br /> 0611312014 _ <br /> sta ' comrt B2166� Print or Type Commissioned Name <br /> Personally Known V OR Produced Identification <br /> Type of Identification Produced <br /> • <br /> DECEMBER 28,2010 7 of 7 <br />