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® sosNY is‘F <br /> ® ;` ANTI - KICKBACK <br /> • ." : City of Sunny Isles Beach <br /> ', �4` " 18070 Collins Avenue <br /> Sunny Isles Beach,FL 33160 <br /> ® c'''OF SUS Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ® ANTI-KICKBACK AFFIDAVIT <br /> ® STATE OF FLORIDA ) <br /> ® ) <br /> ® COUNTY OF Miami-Dale ) <br /> 0 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: Christine Turner <br /> C <br /> O Title: President <br /> a <br /> 0 The foregoing instrument was acknowledged before me this day of <br /> O 0°A-b1.0,Q_( , 20 \ h by Christine Turner [name <br /> of person], as President [type of authority], for <br /> ® -vcr�c?ubl;e ."7_.rc. [name of party on behalf of whom instrument was <br /> executed]. ( --TU21\1E3q <br /> ® AFFIX NOTARY STAMP HERE: 1 <br /> 0 r le ♦ f �L <br /> " -_,.TRACEY L ORNELAS Notary blic — •t • i • '• CO(ore(d o <br /> _ -_ NOTARY PUBLIC �, <br /> ® r 3TATEOFCOLORADO `\ ocku U D `( r.Ck C3 <br /> --NOTARYID#20044001087® Print or. Type Commissioned Name\ MY COMMISSION EXPIRES MARCH 30,2020 <br /> ® ----,,-:;.Persgnally Known )/X, OR Produced Identification <br /> Type of Identification Prodced <br /> 0 <br /> 0 <br /> ® DECEMBER 28,2010 7 of 10 <br />