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<br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 ColtiOll 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 />COUNTY OF TIft-bE <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 Oty 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 />~\)<-( ~/1}-} <br />OCA)N~ <br /> <br />Title: <br /> <br />The foregoing instrument was acknowledged before me this ;l.. 'Irll day of <br />twtAl.( , 20-lL by ~.JOI..if)'i &f ITH [name <br />of person], as e>c.-vA.J~ [type of authority], for <br />V}..)\G)v~ cH-NL~s. INC. [name of party on behalf of whom instrument was <br />executed] . <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br /> <br />~ <br />Notary Public - State of Florida <br /> <br />11111... ................................ ........:11 <br />; RICHARD A. NZERIBE : <br />; ~\\tI.",t. : <br /> <br /> <br />Print: <br />. ,. <br />- ~/lilll Florida Notary AIlsn., lno ~ <br />. ~ ~~ t '!'l''r~!''''''~'':'!'''"'t IIi' l' ,::'~ ..,~~.....~~".......'lI!.': <br /> <br />Personally Known ~ OR Produced Identification <br />Type of Identification Produced <br /> <br />OECEIAllER28,201D <br /> <br />70f7 <br /> <br />, , ~ ~ <br /> <br />J <br />