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<br />o <br /> <br />o <br /> <br />o <br /> <br />SECTION 21 <br />ANTI.KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <br />COUNTY OF Broward <br /> <br />By: <br /> <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum h ein p-rop <br />any employees of the City of Sunny Isles Beach or its elected officials as a com io <br />directly or indirectly by me or any member of my firm or by an officer of the co 0 o. <br /> <br />Title: <br /> <br />Chief Executive Officer <br /> <br />The foregoing instrument was acknowledged before me this ..2.L day of August , 20~, by <br />Randal R. Perkins [name of person], as CEO <br />[type of authority], for AshBritt, Inc. [name of party on behalf of whom instrument was <br />executed). CD <br /> <br />~~~II"""I ~ <br />AFFIX NOTARY ST~{,~81Lv;'II"'~ <br />~ ~~ ...... i9 ~ <br />~ ~ . .,~()N EXP,-i.,.. ~ <br />f !,If'" 20 IJ""-: {t. ~ - oIary c - Stale of Rorida <br />E .~..., G)~ B..o::: J . <br />~ .ho :. (T r.F>'tl-'01l, I.: ~ g <br />~~ .~~~U ~. ~ <br />~.. ~.. l:i:' ~ <br />~ "h ... /!JruugII\~.. ~ S <br />~ v~ ...... ~ ~ <br />~" 'lTrPuBLIC ~~ ~:~ <br />'/111 . ~"", <br />o Personally Knowff'llllJ.JlI\\\\\ OR <br />o Produced Identification Type of Identification Produced <br /> <br /> <br />END OF SECTION <br /> <br />78 <br /> <br />AshBritt, Inc. I Sunny Isles Beach, FL I RFP No. 08-07-01 <br />