Laserfiche WebLink
%��;s ANTI-KICKBACK <br /> .: City of Sunny Isles Beach <br /> '.,'• ;� 18070 Cotln9 Avenue <br /> `1 I'•,t o��9a/ Sunny Isles Beach,FL 33160 <br /> or,."'" Telephone:(305)947.0606 Fax(305)944.3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA FL ) <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 /> By:Title: V President <br /> The foregoing Instrument was acknowledged before me this 9 day of <br /> 1) ta4 , 20 14 , by .3 AA qAp ,upscc E. [name <br /> of person), as vle.c Pal a-wr [type of authority], for <br /> sown.1-1 p.Xoasc..a a{,.,i7 t u nos [name of party on behalf of whom instrument was <br /> executed). <br /> AFFIX NOTARY STAMP, E�;Mu:oz <br /> �•: •,: NOTAF:Y Pt18L{C <br /> � ;�', �'STATE OF FL DA o -ry Pubic State of Flo Ida <br /> w''..; Opmm# 718;2016 <br /> oe,a� gxplces &AL 1,•. . - . .. .1l n Oz <br /> Prir—or Type Commissioned Name <br /> Personally Known OR Produce Identification <br /> Type of Identification Produced VA c t `�Asie i `ticextg , <br /> DECEMBER 28,MO 7 of 10 <br /> U t '.i <br /> I <br />