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SV,,N1•,„, <br /> _,°�` F- ANTI -KICKBACK <br /> City of Sunny Isles Beach <br /> 410 a9 � 18070 Collins Avenue <br /> hF '•F i oR\ c+` Sunny Isles Beach,FL 33160 <br /> ''''`or Li,'� Telephone:(305)947-0606 Fax(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> 0 <br /> STATE OF FLORIDA ) <br /> ) <br /> COUNTY OF Miami-Dade ) <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: Maurizio L Bettoli <br /> )2C.---,v,'32 ---- -- <br /> Title: Director of Operations <br /> 40 The foregoing instrument was acknowledged before me this di y day of <br /> .L , 20 /7, by Rikut p z o L. /3 6- /r [name <br /> of person], as [type of authority], for <br /> [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HER �trttttr�oo <br /> c' <12'.....!%;',.°,, ...!..., ; i ._° ��r% Notary Public— State of Honda <br /> i> ' ��- <br /> Q-.. t..1 l <br /> S� �• ;gipi ;i�t <br /> , . -y.` ``— <br /> Print or Type Commissioned Name <br /> hY � T�' <br /> Personally Known OR Produced.Identification I/ <br /> Type of Identification Produced 1 <br /> III <br /> 7 of 7 <br />