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S <br /> ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> 16 l 070 Coals Avenue <br /> • J.s,`` Siwry isles Beady FL 33160 <br /> Tel(305)947.606 Fax(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <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 /> �J - <br /> By: Maurizio L Bettoli • - <br /> Title: Director of Operations <br /> The foregoing instrument was acknowledged before me this d< � day of <br /> , 20 !7, by Kau pizio 1, 136-7 /� / [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 <br /> 4 <br /> ` ;;?21"u�• Notary Public—State of Florida <br /> e -rS <br /> 6' X :� Print or Type Commissioned Name <br /> Personally Known OR Produced dentification <br /> Type of Identification Produced v <br /> 7 017 <br /> 41111 <br /> n � <br /> LJ o :J <br />