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S�is 1l f,E <br /> • <br /> ' • ANTI - KICKBACK <br /> u` }z <br /> .;` �::• City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> , Sunny Isles Beach,FL 33160 <br /> o. w•• ' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> ) <br /> COUNTY OF Miami-Dade ) <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 /> 4011111° <br /> By: Br- B ' ten u A / <br /> Title: General Manager <br /> The foregoing instrument was acknowledged before me this 23rd day of <br /> March , 20 16 , by Rret T RrittPnllrn [name <br /> of person], as General Manager [type of authority], for <br /> Ar-Ademy Buis U C [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: <br /> 4 4/ • LL4b41. <br /> `oti.jtY,,,, Dayienis• Attu ra No if Public.— State of Florida• <br /> : t ummission EE8b3910 <br /> Expires: Jan.09,2017 /�l�ll S I7 YY77r"g <br /> OF f�pe BONDED THnU <br /> • ,,,,, AAA NOTARY&SURETY eONps Print or Type Commissioned Name <br /> Personally Known x OR Produced Identification <br /> Type of Identification Produced <br /> • <br /> DECEUSEs 23.2010 7 Or 7 S I B <br />