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) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />~ ) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <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 />) <br />COUNTY OF Broward ) <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 />c <br /> <br />By: YA(7Uf^( 8(11/0/ <br />Title: Senior Vice President <br /> <br />The foregoing instrument was acknowledged before me this 1 sA- day of <br />'-{\II ~ ' 20~, by S 2-;c VI €.r [name <br />person], [type of authority], for <br />behalf of whom instrument was <br /> <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />L/~~:i:L~ <br />Notary Public - State of Florida <br /> <br />rifle. r-thi1 9)I0/1A~ <br />Print or Type Commissione Name <br /> <br />MARTHA EVANS <br />NOTARY P08UC. STATE OF FL()RlDI. <br />COMMISSION # EEOO2677 <br />EXPIRES 6/2112014 <br />OONDED THRU 1-888-MOfAR'l'1 <br /> <br />Personally Known / OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER 28, 2010 <br /> <br />7 of 7 <br />