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<br /> <br />ANTI-KICKBACK <br /> <br />0' 'HJt~ <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 />COUNTY OF Mlallli-1JOde ~ <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 />d$~ <br /> <br />u(' ~ ~ 1/tfQ.M. CleM v <br />/ <br /> <br />Title: <br /> <br />2'~. foregoing instrumRnt was acknowled9~d before me this W"'" day of <br />-:3et'U!l116.e Y , 20-11-, by MidAael f"itl.j cr'US [name <br />of b.erson], as LOr3a.{;mf MMt.a~eY [type of authority], for <br />UWPirs't {I()rf;oYa:lt~ [na e of party on behalf of whom instrument was <br />executed]. ( <br /> <br />vv~ <br /> <br />o,ts'.~y PlIe<< Notary Public State of Florida <br />~ \ ': Blanca Feliz <br />~.::.. "it My Commission D0875176 <br />-v,.. OF f'>O~ Expires 03/29/2013 <br /> <br />w~~ <br /> <br />Notary Public - State of Florida <br /> <br />'?k/?LC{ ~/ z- <br /> <br />Print or Type Commissioned Name <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />Personally Known V OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER 28. 2010 <br /> <br />7 of 7 <br />