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SVNNNY E <br />s <br />;I Z <br />yF C'gJ -' <br />O F'l�0.\OO yet <br />)y r SUT� PN <br />STATE OF FLORIDA ) <br />COUNTY OF At1'& K;- o 0 <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: Jorge A Gutierrez <br />Title: Operating Manaizer <br />The foregoing instrument was acknowledged befor me this 1� day of <br />=� k A rt 20 1 � by �S 2 R i� � [name <br />of person], s i Yv a� [type of authority], for <br />o . G k I Pv Z R c + ��} [name of party on behalf of whom instrument was <br />executedl. <br />AFFIX NOTARY STAMP HERE: <br />er , PATSY ANN GIBBS <br />MY COMMISSION R EE 132820 <br />EXPIRES: OdobQ 23, ]Ol5 <br />1.♦foDl�iORAlIY A. Nolsy Dirorrt Arne, Q. <br />1 <br />c <br />otary Pu lic — State of F orida <br />eA-� sy A. 6,,'b b <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced _ EL-'-b Z_ -4k T - .3G <br />DECEMBER 28, 2010 7 of 7 <br />