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i '�.° 'tryr •b� 1 <br />�� 9ir P�GR \0 4ye <br />vat sua <br />STATE OF FLORIDA ) <br />COUNTY OF -I)AZ 5= ) <br />ANTI - KICKBACK <br />CRY of Sunny Isles Beach <br />18070 COMIfs Avenue <br />Sunny tales 8980N Ft 33160 <br />Telephone: (306} 847 -0N6 Few (306) 849-3113 <br />ANTI- KXCKBACK 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: P"I AR..i(- \JAS-W Q0 <br />Title: -t re5 J 60 n T <br />The foregoing Instrument was acknowledged before me this day of <br />_ ZY) n e_ , 20—%A_, by (- tiL [name <br />of person], as [type of authority], for <br />cah .fir - W S _ R S & [name of party on behalf of whom instrument was <br />executed]. <br />. AFFIX NOTARY STAMP HERE: <br />aoonaa000aoq eagppa�a���cogpoaeuaeeACo <br />' 43amm�DD088D8Gx <br />xpi�s d 113 <br />e,r kl aykft, (no <br />naw. rr .. . .. • °re.xvpMawrreo•x •• <br />Notary Public – State of Florida <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification . <br />Type of Identifica on Produced <br />DEOFMOR28, 2010 707 <br />