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<br /> <br />ANTI-KICKBACK <br /> <br />Of SU1'l <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 />COUNTY OF <br /> <br />Martin <br /> <br />) <br />) <br />) <br /> <br />STATE OF FLORIDA <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 />By: <br /> <br />Edward Dugger ? ~~H2- <br /> <br />Title: Principal <br /> <br />- <br />I <br /> <br />/I The foregoing instrument was ""knowledged before me this 'So -jJ, day of <br />~r'- I , 20~, by t:-d V-o't\( ~ D\lJS e, . [name <br />of person], as Pc; VIe, {HI. \ [type of authonty], for <br />EdVJr.rJ 0\\3-3 e r c,II\J --;J:,:,(~,~ f j] [name of party on behalf of whom instrument was <br />executed] . <br /> <br /> <br />"<~~:""~~~"" ERIC MCGUIRE <br />f"O: .:"'\ Notary Public. Slale of Florida <br />:. ... .It .: <br />~",,,,. ~~ My Comm. Expires Mar 16. 2015 <br />"'::'~oFfCo,,~:"~ Commission # EE 74735 <br />'II Uti" <br /> <br />~~Florida <br />LIe. /I/)cbv;(-e <br /> <br />Print or Type Commissioned Name <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />Personally Known OR Pro,9J,Lc;ed Identification x: <br />Type of Identification Produced 1::....1- D L <br /> <br />DECEMBER 28. 2010 <br /> <br />7 of 7 <br />