Laserfiche WebLink
O�SUpNY 1S(F�A <br />a F <br />U `r -• _ <br />FLOP 4 <br />or SUN n�0 <br />STATE OF FLORIDA ) <br />COUNTY OF �o"-Ip) <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 />By: <br />Maurizio Bettoli J4_7 <br />Title: Director of Operations <br />The foregoing instrument I a acknowledged before me this day of <br />, 20 , by \G�o�� [name <br />of person], as _ ` '�Let�e- [type of authority], for <br />\J2,k [name of party on behalf of whom instrument was <br />executed]. � r4a-�' <br />Personally Known OR Produced Ide tifi ation / <br />Type of Identification Produced �r \3U Ao 7� �-- <br />AFFIX NOTARY STAMP HERE: <br />Notary Pu —State of Florida <br />� <br />Print or Type Commissioned Name <br />DECEMBER 28, 2010 7 Of 7 <br />PJOTA .RYPU�iI.IC- SiAI'EOFFLORIDA <br />co�,ft�es3sciNon %s4o2z <br />��a €'s�.�� �t4f2 ®'i 2 <br />©QUA` <br />{'•�� v,o <br />EOi�DEDTFiRU1- 8S8- ldOTARYI <br />Notary Pu —State of Florida <br />� <br />Print or Type Commissioned Name <br />DECEMBER 28, 2010 7 Of 7 <br />