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<br />r 1 <br />I , <br /> <br />f' <br />I <br />I . <br /> <br />! 1 <br />i <br />i , <br /> <br />r' <br /> <br />I . <br /> <br />[' <br />l J <br /> <br />r 1 <br />l J <br /> <br />r ~ <br />l i <br /> <br />f1 <br />I ' <br />l j <br /> <br />f ' <br />L j <br /> <br />[' <br />l j <br />I <br />I <br />I [ : <br /> <br />r ' <br />II <br /> <br />r ; <br />Lj <br /> <br />r! <br />L <br /> <br />l.~ <br /> <br />r 1 <br />, <br /> <br />l.l <br /> <br />r' <br /> <br />l j <br /> <br />r' <br /> <br />'-' <br /> <br />:""'..1 <br /> <br /> <br />1V6u YtJl4~ <br />STATE OF Fl9RIDA ) <br />) <br />COUNTY OF MfAnAo.J.ku1 ) <br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305)947-0806 Fax: (305)949-3113 <br /> <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br />by an officer of the corporation. <br /> <br />By: <br /> <br />~ <br /> <br />-- <br /> <br />Title: <br /> <br />II r,f r ; d.JA .J- <br />I - , <br /> <br />The foregoing instrument was acknowledged before me this L day of <br />jI}/lCV-{/"C"-I-, , 20-.-!L, by .4nrU!Jr..P..LL> LuJ r ru.' [name <br />of person], as Pr'R- S ; nI Q~ [type of authority], for <br />/)RJ Jl.) &(Jnt~ aw fA t..t.-t j ~~ \ /itl--, [name of party on behalf of whom instrument was <br />executed] . <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />CAROLYN NEPO <br />NOTARY PUBLIC-STATE OF NEW YORK <br />No, 01NE6117340 <br />QualifIed In Nassau County <br />My Commllsfon Expire. I ~ I LJ . /; ~ <br /> <br />a~(lA;~ <br />Notary Public - State of . )U.vv 'I~~ <br /> <br />{!Me-OL-VtU tUe'"PO <br />Print or Type Commissioned Name <br /> <br />Personally Known OR Produced Identification <br />Type of Identificatio Produced <br /> <br />DEcEMBER 28, 2010 <br /> <br />7of7 <br /> <br />SIB <br />