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Manuel Synalovski Assoc., LLC
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(12-04-04) Design and Permitting Services for Intracoastal Parks
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Manuel Synalovski Assoc., LLC
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Last modified
5/7/2012 3:07:01 PM
Creation date
5/7/2012 3:04:56 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Design & Permit. Svcs of Intracoastal Parks
Bid No. (xx-xx-xx)
12-04-04
Project Type (Bid, RFP, RFQ)
RFQ
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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 />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 />OF <.ii"pI <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 m>>mber f my firm or <br />by an officer of the corporation. <br /> <br /> <br />By: Manuel Synalovs 1 <br /> <br />Title: Managing Principal <br /> <br />The foregoing instrument was acknowledged before me this ~ day of <br />~(~ \ , 20 V2.., ~y ,Ma~uel Synalovski [name <br />of person], as Managlng Prlnclpal [type of authority], for <br />Manuel Synalovski Associates, LLC [name of party on behalf of whom instrument was <br />executed] . <br />\\\\\\111 II 11111111 <br />~~~,... C. MAR/N III~ <br />AFFIX NOTARY STA~-, 'N.i~... % <br />"" "" . ~ "f7"., . ~ <br />~ /i1".,."~,20'<f''1P... ~ <br />: :~$ -.1c ~ <br />- . . - <br />~ ::E .,.. :Ci~ <br />-",. n'l,?,?p< .-- <br />~7' ~ O\)\)\lov ~: [5:::: <br />,. . ~ ~#.":-J:::- <br />~~ ... -u 8onde6~1:,"'<!'...K'<:. $: <br />~ ~ ..~/q'YPub\ic\\I'... C5 ~' <br />~ 'lyrp.......~'t--<.,,<v~~ <br />'III/ UaLle S \ \,\" <br />/1/11111111'\1\\\\ ' <br /> <br />~jC.1Y\(1~ <br /> <br />Notary Public - State of Florida <br /> <br />Isabel C. Marin <br /> <br />Print or Type Commissioned Name <br /> <br />Personally Known V OR Produced Identification <br />Type of Identification Produced V\ 10\ <br /> <br />DECEMBER 28,2010 <br /> <br />7 of 7 <br />
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