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SUNNY JS4F, <br />,f <br />+- n <br />yF 9� F4O�� y4, <br />Tr 0. $v <br />STATE OF FLORIDA ) <br />COUNTY OF DaC t ) <br />ANTI - KICKBACK <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 />ANTI - KICKBACK AFFIDAVIT <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 />i <br />By: '0� yl�2 <br />(_�/ I C� <br />Title: rff , <br />P 1. <br />The foregoing instrument was acknow <br />r`1 , 20 la I by <br />of person , as Vr -es LcleI4 <br />5 k ?t r iar �- L&.Ai, y . [name of <br />executed]. <br />AFFIX NOTARY STAMP H <br />MARIA VALDES <br />Notary Public . State of Florida <br />" 'tee My Comm, Expires Oct 25, 2015 <br />;A�` Commission # EE 121498 <br />before me this l D day of <br />I� [name <br />[type of authority], for <br />i behalf_Qf whom instrument was <br />Notary Publk pState of Florida <br />Type Commissioned Name <br />�x <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 10 <br />