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<br /> <br />. <br />. <br />. <br />~ <br />~ <br />. <br />~ <br /> <br />SECTION 21 <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF b A:h~ ) <br /> <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum <br />herein bid will be paid to any employees of the City of Sunny Isles Beach or its elected <br />officials as a commission, kickback, reward or gift, directly or indirectly by me or any <br />member of my firm or by an officer of the corporation. <br /> <br />By: \J...A-~0E'- A.-'J ,\.JS~ <br /> <br />Title: ~.j~ \~r.:: "5~ ~-JE-\.J>,Pc-0/ <br /> <br />The foregoing instrument was acknowledged before me this d S day of <br />10 ./,\v_N...."O.7C:-C'v , 20 V":f, by "'^-A.t-.J,fi:. \...; ~\.J.... ~.:s <br />[name of person], as ~.,:;~\.NE.,"'5"S DSJs........o,(J'2;(V [type of authority], for <br />'\l~~CM'~\ ~\~!)'&-~ [name of party on behalf of whom instrument <br />was executed]. UA-\'....r"\:I?I'JA f'J ~ . \...::L-' <br /> <br />t <br />~ <br />. <br />, <br />. <br />. <br />. <br />~ <br />. <br />t <br />. <br />t <br />t <br />t <br /> <br /> <br />FF~p . <br />#' "<;; PAOLA C VILLANUEVA <br />~ ~~ MY COMMISSION # D0542526 <br />~Ofl\.<:>'l' EXPIRES: Apr./9,201O <br />(407) 398-0153 Floode Notery Service. com <br /> <br />,/ I cPi2M } <br />'--m Pflb~C - ttaj of Florida LQ <br />VOt' / I )(j n Llf . <br />Print or Type Commissioned Name <br /> <br />Personally Known )( OR Produced Identification <br />Type of Identification Produced <br /> <br />END OF SECTION <br /> <br />PAGE 91 OF 92 <br />BID No. 07-10-04 <br />