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<br />" <br /> <br /> <br />ANTI-KICKBACK <br /> <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 /> <br />ANTI -KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF ~ ~ <br /> <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 /> <br />.- <br /> <br />-----.<:. :D--~-'-' <br />Br~,:/-o~~ W;<,- G~Wd;S <br />Tlt{ .~, /~l I' Cf-t'wfi rf/1rR:J(' <br />qqO tt J <br /> <br />The foregoing instrument was acknowledged before me t~s '\ -~ day of <br />(cbnHuy , 20...L1....., by :J(A.\k Gtrl/c.:,', [name <br />of person], as en i'd O,pi r<<L'I\~ (j~, ce.. [type of authority], for' <br />L31 c.~(j? db.l, <1'l!phP/{,c s.'i&~n.l [n me of party on behalf of whom instrument was <br />executed]. <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br /> <br />VICKIE L HEllOlD <br />MYCOM~ISSION I EE 082114 <br />EXPIRES: April 10, 2015 <br />Bonde<! Thru ~atyPubl'~underw,"11S <br /> <br />,UCuL..l ~. 'l1:-0wW <br />Notary PUblic - State of Florida <br /> <br />\Ii c..It.,-L L. He.(old <br />Print or Type Commissioned Name <br /> <br />Personally Known /. OR Produced Identification <br />Type of Identification Produced <br /> <br />DeCEM6ER2B,2010 <br /> <br />70f7 <br /> <br />f't',i '-IJ <br />"'') ,\ u <br />