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uNNY/,, <br /> 11 o_; ;_, ANTI - KICKBACK <br /> ® Vc <br /> � /• City of Sunny Isles Beach <br /> j� 18070 Gains Avenue <br /> • t• `O + Sunny Isles Beach,FL 33160 <br /> o.,°s' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF .I'Q dell ) <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: f/ <br /> Title: OgZ3.I46-17– <br /> ® The foregoing instrument was acknowle ged before me this IC day of <br /> 4012tam , 0 Ia,.by matt- CVt1Lih [name <br /> of person], as ' .� — J [type of authority], for <br /> V •_•_ A i <br />