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<br />SECTION 21 <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF ~ <br /> <br />) <br />) <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: <br /> <br />1~ JrdLt <br /> <br />V, u- t i.e:.f1 /)E:lU <br /> <br />Title: <br /> <br />~ The foregoing instrument was ackw>wledged before me this t~., day of <br />',\\~ ,2068 ,by -DLmaa5tftLEl <br />[name of person], as V I t (. fr'2ES lOCru\ [type of authority], for <br />h ~ A m~\m~; ()/ ~ Jh(' ~ [name of party on behalf of whom instrument <br />was executed). . <br /> <br />- '-:J"'~.' <br /> <br />...".... OLGUINE VAVAL . < A Q ~ r---..J n <br />l~I~ rv.~<. MY COMMISSION #,00 ~??~?' 1.' (}.),~ I ",-.....-c..Y <br />:..: :'1 EXPIRES' June 1~ ~ N ta ~Lbl" Stat f FI "d <br />%.~fif,:f;;l/ BondedThrUNO~ryPU~: ":~ . " ". 0 Or ":"e~c ~ vr... e, 0 on a <br />Print o~~pe Commissioned Name <br /> <br />Personally Known / OR Produced Identification <br />Type of Identification Produced <br /> <br />AFFIX NOTARY ST. <br /> <br />END OF SECTlON <br />