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RFP No. 08-07-01 Emergency Debris Clearing and Removal
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Phillips & Jordan
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Last modified
3/25/2011 4:15:19 PM
Creation date
3/25/2011 4:14:35 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Emergency Debris Clearing
Bid No. (xx-xx-xx)
08-07-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />- <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />f"'\ <br /> <br />SECTION 21 <br />ANn.KlCKBACK AFFIDAVIT <br /> <br />STATE OF Ft~m\ North Carolina <br /> <br />COUNTY OF Graham <br /> <br />I, the undersigned, hereby duly swom 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 ns elected officials as a commission, kickback, reward or gift, <br />directly or indirectly by me or any member of my firm or by an officer of the corporation. <br /> <br />BY:~/~" ~ <br /> <br />Title: Edd Satterfield, Asst. VP <br /> <br />The ~ng instrument was acknowledged before me th~ Z day of ~n ,20~ by <br />}-~ SC't.....~" ~\ ~ \ A [name of person], as A.<:.~~~"\C!lt.._-\ '\I;p <br />[type of authority], for~~ ~ \\ 't p~ <3. ~~~ m....., ~W\C!. [name of Party on behalf of whom instrument was <br />executed]. "...."" <br />.~'1~'lNN I"" <br />AFFIX ~ STAM~~l;fo;. <br />~ 'vq" <br />~ .V: ..- <br />Sti) NO~A (\\'\ <br />!:u ~ .....~ (J): <br />: ~ 1I~ : <br />-- ~ vL, = <br />\ "!#_ C ,.." I <br />~ .., '" ~ <br />'\ " ~. ~.:> <br />""'1. aUNT'l. ",,~ <br />o Per'~.~ OR <br />o Produced Identification Type of Identification Produced <br /> <br />~ ~m""- C' ~ <br />-Nota Public - State of North Carol ina <br /> <br />~ \" '(\. "'- ~. --:::s-- ~ e... '" <br />Print or Type Commissioned Name <br /> <br />END OF SECTION <br /> <br />78 <br />
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