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1) <br />V T <br />1 f' <br />pC' fLp0. of <br />a <br />iy of xuH � <br />STATE OF FLORIDA <br />COUNTY OF <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 a y member of my firm or <br />by an officer of the corporation. <br />A. Fandrei <br />Title: Principal ( Fandrei Consulting, Inc.) <br />The foregoing instrument wa acknowledged before me this �411h day of <br />NoveinbeT , 20 1 ( , by PM r ,w)dC [name <br />of person], as Pri'll(_1 W [type of authority], for <br />F-An d1,er C&vnu +iq�j.nc . [name of party on behalf of whom instrument was <br />executed]. ji <br />AFFIX NOTARY STAMP HERE: <br />r <br />.� OMAYRA V. BERG <br />Notary Public - State of Florida <br />' My Comm. Expires Jun 27, 2014 <br />_.' <br />Commission # EE 4280 <br />�nua <br />Personally Known <br />Type of Identification Produced <br />DECEMBER28,2010 <br />Notary 111 bliC — St to f Florida <br />Vfea V & C <br />Print or Type Commissioned Name <br />OR Produced Identification <br />7 of 7 <br />