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<br />SECTION 21 <br />ANn-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF ~ <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 />---ili il At ttMr Ij? 11 :x IflJ /4~/ <br /> <br />nl A ')/1 p~r <br /> <br />Title: <br /> <br /> <br />instru~~t was <br />20 0 by <br /> <br /> <br />,J. <br />befo(e me thi~ day of <br /> <br />[type of authority], for <br />[name of party on behalf of whom instrument <br /> <br />A <br /> <br /> <br />"",~y P::"" A. R . BlE <br />i~m. '\~'~ Notary Public. Slale of Florida <br />~. * .: . ~ My Commission Expires Jun 8, 2011 <br />~~^' c~"$:: Commission # DO 651690 <br />',:t'" Of F\.l.r..," <br />.....""",' Bonded Through National Notary Assn. <br /> <br /> <br />Personally Known OR prodU~dentificatiOn <br />Type of Identification Produced P L ~ <br /> <br />END OF SECTION <br /> <br />PAGE 77 OF 78 <br />