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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 /> <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 />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 />OF S\J'" <br /> <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF >>o.JLR <br /> <br />) <br />) <br />) <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 />Title: <br /> <br />P~~~PA17 <br /> <br />IThe foregoing <br />Afe.- , <br />f 8erson], as <br /> <br />executed] . <br /> <br />ST' <br />wa~ acknowled~ b:Foref' me this} day of <br />..JOR.G,f ~bf)~~~ . [name <br />[type of authority], for <br />ehalf of whom instrument was <br /> <br /> <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />NOTARY PUBUC-STATE OF FLORIDA <br />....,....,}.. Laura A. Gcnzalcz <br />~ ~.;t4 J- Co~sion # DD342247 <br />"",/f."," ExpIres: DEe, os, 2012 <br />BONDED THRI1 A1'LAN11c BO.NDLNG CO.,INe. <br /> <br />V <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER 28. 2010 <br /> <br />7 of 10 <br />