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NNT/_ <br /> s.'• ANTI - KICKBACK <br /> cii-.., C,1;:,-1 ,31,:::7,v. <br /> . <br /> r_ -�,]r_' / City of Sunny Isles Beach <br /> 13070 Cdlns Avenue <br /> �- :: <br /> ro� Sumrylsles Bach,FL 33160 <br /> Telephone:(305)942-0606 Fat:(305)9443113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> ) <br /> COUNTY OF bR0, I ) <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 .j-mber of my firm or <br /> by an officer of the corporation. <br /> _/ � <br /> . / _IIS_ <br /> 011111W <br /> Title: .i <br /> vThe foregoing instrument w acknowledged before me this 023 day of <br /> 1214`4- 20 /6 , by A7u Hoov 7l [name <br /> of pergon], as ( cS1Dc1JC CEO [type of authority], for <br /> Act\Cn Ldrwsz te 1ll.0 [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: / /'/ <br /> ROCCO 0PACIELlo Notary-Publ — s to of Florida <br /> .-i-,—... NOTARY PUBLIC <br /> r 7._ <br /> '''.: STATE OF FLORIDA 0CC(� P� C'LLQ <br /> `-One FF041337 <br /> F S7�1 7' Print or Type Commissioned Name <br /> Personally Known OR Produced Identification <br /> Type of Identification Produced <br /> DECEv¢c 28.2010 7 of 10 <br />