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(08-10-01) Streetscape Improvements
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Last modified
4/11/2011 4:53:23 PM
Creation date
4/5/2011 5:25:38 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Streetscape Improvements
Bid No. (xx-xx-xx)
08-10-01
Project Type (Bid, RFP, RFQ)
Bid
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<br />. <br /> <br />o <br /> <br />. <br /> <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 herein bid will be paid <br />to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, <br />reward or gift, directly or indirectly by me or any member of my firm or by an officer of the oration. <br /> <br /> <br />The foregoing instrument was acknowledged before me this ~ day of cD.J...~QJ/~\J6-f'~ <br /> <br />20~ by (1V\ Y U::), YV,- (~ . I~I//l) J I~ [name of person], as I <br /> <br />~ \. ~ -l - '?\~ \ ~V'-"\ [type of authority], for ~ ~N'\~-\Ylkm {)A <br />[name of party on behalf of whom instrument was executed]. 1ZcY1 hb] 1J 51 t:....--S .:;F-rnL. <br /> <br />AFFIX NOTARY STAMP HERE: ~ <br /> <br /> <br />JERRY MURAT . <br />Notary Public. State ot FlOrida <br />Commission# 00723357 <br />My comm. expires Oct. 09. 2011 <br /> <br /> <br />uv~ <br /> <br />Personally Known <br /> <br />OR Produced Identification <br /> <br />Type of Identification Produced <br /> <br />t=-L ~ \-- <br /> <br />END OF SECTION <br /> <br />PAGE 82 OF 130 <br />BID No. 08-10-01 <br />
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