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<br />o <br /> <br />SECTION 21 <br />ANTI.KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF Leon <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein proposed will be paid to <br />any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, <br />directly or indirectly by me or any member of my finn or by an officer of the corporation. <br /> <br />By: <br /> <br /> <br />O'IV' . <br />Title: <br /> <br />The foregoing. instrument was acknowledged before me this ~ day of A LA b VI Sol , 20 0 ~ I by <br />-Joe. f'.:XAf'lC t.JA.J<..-D [name of person], as DI v IS I 0 I~ D, ~(-n~ . <br />[type of authority], for 01(Y1fY11~ CttoNbet-Gx.cNlAn^'4name of party on behalf of whom instrument was <br />executed]. D':u4- 0z.. 0 j-VOc:;X... D I SA S re)(.. '< I;;i- C-c.DLV{ <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />.":~"\:'!~:"" CLARA ARNOLD <br />t."/ ,:.f,:;. MY COMMIS U <br />~~. ~.~.~,f ::XPIRF.S: February 28, IIIOt8ry <br /><'7,~b~,~" 13<,,,d.o P,fJ ~lot.!Y PUbliC Underwnters <br />,Rfll'~\ <br /> <br /> <br />o <br /> <br />Print or Type Commissioned Name <br /> <br />v <br /> <br />[] Personally Known <br />[] Produced Identification <br /> <br />OR <br />Type of Identification Produced <br /> <br />END OF SECTION <br /> <br />o <br /> <br />78 <br />