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(11-05-03) School Crossing Guard Services
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Bayus Security Services
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Last modified
5/26/2011 11:50:32 AM
Creation date
5/26/2011 11:50:05 AM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
School Crossing Guard Services
Bid No. (xx-xx-xx)
11-05-03
Project Type (Bid, RFP, RFQ)
Bid
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<br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF~/~ <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: ()LALEk',f,ij c'5"~/Ok1/~~/ <br />Title: PRES/2)EA/T <br /> <br />The foregoing instrument was acknowledged before me this d-4:!l'l-day of <br />~i , 20jL, by eL~bK.p,~ S,\toKu~B( [name <br />of person], as --p Rl!= <?> \ "" FNI [type of authority], for <br />~;..i\'1ll<;..C;FrtJRIT-f ~5f::o<VI,--f6 htlname of party on behalf of whom instrument was <br />executed]. <br /> <br />,i'r!:'v:~~~_ OLUWATOYIN LADITAN <br />~-/' 4 >~ MY COMMISSION # 00848686 <br />-~.~'" . <br />--.r,~o;,f(.~-- EXPIRES February 10.2013 <br />"'111" <br />(407) 398-0153 Flo':daNotaryService,com <br /> <br />~. <br /> <br />Notary Public - State of Florida <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />~ L~\l\JM \)'i' I ~ L-t\:b li1\-r1 <br />Print or Type Commissioned Name <br /> <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER 28,2010 <br /> <br />7 of 7 <br />
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