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Sar1NV IS,� <br />J Y <br />F LOF S <br />cT <br />� Of SUN <br />STATE OF FLORIDA ) <br />COUNTY OF Miao;,- e ) <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 />ZL <br />By: nn <br />Title: F '.5� " <br />The foregoing instrument was acknowledg <br />To__1't yCL ry 20 1) by J � C_ <br />of erson], as �Si de n-" <br />LM' i ;dmtaN avcdXgg:,QC. [name <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />wv',, Patricia Vallejo <br />s of „•C wi,;ssi0m#0D907261 <br />:UFiRES: Jug. 14, 2013 <br />''i, ��,•° WWW.AARONNOTARY.com <br />of pa <br />(before me this ci day of <br />►� [name <br />[type of authority], for <br />on behalf of whom instrument was <br />Not - l`c =3'We of Florida <br />d-ifp <br />Print or Type Commissioned )'ame <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 Of 10 <br />