Laserfiche WebLink
O� SJNNY ,S(�Sd <br />a F <br />n <br />Sf C'9)r fLOR\ O5e <br />'Y oc 5uN nN <br />STATE OF FLORIDA ) <br />COUNTY OF WNC- ) <br />ANTI - KICKBACK <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 />ANTI - KICKBACK 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: 6yox2ALC -j <br />Title: Qe(. k9r` R i. V P, <br />The foregoing instrument was acknowledged before me this ILF" day of <br />s1nN C, , 20 $ 3- , by Cott &LeS 60-j7,A L [name <br />of person], as keWNA�, u, P. [type of authority], for <br />h�v(,R.Sf [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />PATRICIA SOTO <br />MY ComMj6M M EE 142828 <br />EXPIRES. November 1, 2015 <br />80ndW Thru Notary PubNo Underv+rltan <br />Notary Pub — S ate of Florida <br />i� 0. <br />Print or Type Commissioned Name <br />Personal) Known ✓ OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 10 <br />