Laserfiche WebLink
SECTION 20 <br />ANTI - KICKBACK AFFIDAVIT <br />STATE OF FLORIDA ) <br />COUNTY OF ) <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum <br />herein proposal will be paid to any employees of the City of Sunny Isles Beach or its <br />elected officials as a commission, kickback, reward or gift, directly or indirectly by me or <br />any member of my firm or by an officer of the corporation. <br />By: <br />Title: I <br />The foregoing instrument was ac nowled9esl before me this day of <br />, 20 , by > 20 cj • WVAf6Z,, <br />[nam of person], as_' iiEW [type of authority], for <br />S • [name of party on behalf of whom instrument <br />was a ecuted]. <br />AFFIX NOTARY STAMP HERE: <br />Par vle No <br />° <br />r �� M <br />t My ommi <br />+rF °� f`° Expires 04/07/2013 <br />Personally Known r OR Produced Identification <br />Type of Identification Produced <br />END OF SECTION <br />of Florida <br />ssioned Name <br />PAGE 104 OF <br />PROPOSAL SAL N0. . ��� <br />