Laserfiche WebLink
NY <br /> SV^f�E <br /> 21`,71r,a;rf ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> • 1,ow Sunny Isles Beach,FL 33160 <br /> Telephone:(305)947-0806 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <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 /> By: Jose Manuel Lorenzo <br /> Title: President <br /> The foregoing instrument� " s ack owle.d9 ed before me this 93 day of <br /> , 20 I C by�_ 2 d Y T1 z0 [name <br /> of person as = <br /> -g ffiS8O [type of authority], for <br /> p j ,f2 aC-hcc • I [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: <br /> Notary Pu. + tl-In- of Florida <br /> iS JESSICA M LEON <br /> MY COMMISSION It FF960818 \_eL <br /> EXPIRES February 15.2020 \J `L 7 >] <br /> LJi✓`� <br /> l4Cri:al C:53 FbKMmry$prvra.rem Print or Type Commissioned Name <br /> Personally Known OR Prod ced Identification • <br /> Type of Identification Produced - 3b 0(010 <br /> DECEMBER 28.2010 7 of 10 <br />