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• <br /> sw4N Y e.. <br /> ANTI - KICKBACK <br /> ® V• <br /> � City of Sunny Isles Beach <br /> \�« ' 18070 Collins Avenue <br /> sf/D9'••r t°4`° Sunny Isles Beach,FL 33160 <br /> �, ao <br /> or sum ' Telephone:(305)947-0606 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 /> By: <br /> Title: President,&"C.E.O. <br /> ® The foregoing instrument was acknowledged before me this l e#h day of <br /> � , 20 1'-( , by Cr'cG-V'x �;\\ei [name <br /> ofpers n], as C. .0. / 'Pc Ps�c - [type of authority], for . <br /> 1r,-NrermerVc9 r\n )Sn4, [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: I/ <br /> � e���� N,�°, Sean C. Rippes Notary ublic— State of Florida <br /> . = COMMISSION t FF178293 <br /> EXPIRES:November 20,2018 ° ) C, 9-'; I' <br /> �' b�a��..f WWW.AARONNOTARY.COM <br /> • Print or Type Commissioned Name <br /> Personally Known X OR Produced Identification <br /> Type of Identification Produced <br /> • <br /> 7 of 7 <br />