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<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-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF Miami-Dade ) <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 />96ft U!. rr <br /> <br />President <br /> <br />Title: <br /> <br />The foregoing instrument was acknowledged ~fore me this I( day of <br />3Z ~' I 20-.LL, by :17/ / vtI Ith/N -, t:J~ [name <br />of person], as iJ""E:..5Id$~f [type of authority], for <br />W~e.r-f&r J,qbor-A-I-oMGS ..z:AJ~ [name of party on behalf of whom instrument was <br />executed). <br /> <br />. <br /> <br />AFFIX NOT&R1Y,,~/TAMP HERE: <br />~,\\'(\ III. <br />.~'\.. ~\)t>. M. PAt9I"'~ <br />.S' -\5' .0...... rf~ ~ <br />$ ...~\~~,\S~ION2..~ % <br />;::; ..~(j~~atyI6 ~.. ~ <br />~ :~,,~ '~ ~.. ~ . <br />=*: (i)(f): = <br />=: fSl>.O :*: <br />~B,~ #DD851568 :~~ <br />~~..~ .S::>~ <br />~~.t-..~'7~ded\tl1'l \,,\..~..~~ <br />~J ,<)/,. ;~ubllc Und.~... <;.,;: ~ <br />,.~ </6>/ .......ai('\~/ <br />"1/- ~/c STAic ,\\\: <br />"111!~ljllllll\\"\X <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br /> <br /> <br />. <br /> <br />DECEMBER 28, 2010 <br /> <br />70f7 <br />