Laserfiche WebLink
<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 />ANTI-KICKBACKAFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF Bccux~l~ <br /> <br />) <br />) <br />). <br /> <br />If 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 Beachr--;@ elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me I>any membe(of my firm or <br />by an officer of the corporation. / . <br /> <br /> <br /> <br />foregoing <br /> <br />~. . <br />instrument Wa~ledged~:re me this .;;>-cf day of <br />~ by ~F--J #(70 v'G" -( [name <br />s / cI Po [type of authority], for <br />e;:' ';f-M#. - e of party on behalf of whom instrument was <br /> <br /> <br />N6'l'Ai\Y ~L1e.a'l'A'fE t}P FL6RIDA <br />"""" Maritza Gomez <br />{W\ eouunIssion IDD884556 <br />~.~jExpires: APlt27,201~ <br />"-"",,, ""I1&:ru.NTlCBoNlllliG co..!Nc. <br />llONDED'J1.... .. <br /> <br />t~ of Florida . .~ <br /> <br />Vf1I?ITM G041r;~ <br />Print or Type Commissioned Name <br /> <br /> <br />AFFIX NOTARY STAMP.HERE: <br /> <br />Personally Known V OR Produced Identification <br />-Type of Identftlcati~ <br /> <br />DECEMBER2B,2010 <br /> <br />70f7 <br />