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,VrI /sa F <br /> • <br /> • <br /> 0 .1:1e ANTI - KICKBACK <br /> ' City of Sunny Isles Beach <br /> �. `'- 18070 Collins Avenue <br /> �•'"?• 04'° +`' Sunny Isles Beach,FL 33160 <br /> '>a,t,,,• -' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> 9 <br /> STATE OF FLORIDA ) 9 <br /> Miami-Dade ) <br /> COUNTY OF ) <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: Denise Arencibia <br /> Title: Partner <br /> 0 <br /> The foregoing instrument was acknowle4.ged before me this / 8 b-edayof <br /> , 20 -7 by <br /> �piYL i 5P �rP,�c %��� [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 HERE: t I <br /> .,o'y!•fl'aq, GRMSELBERDION Notary Public — State of Florida <br /> * MY COMMISSIONS FF 101442 <br /> • a11-- • EXPIRES:April 11,2018 <br /> , gi/2.i5 / (} <br /> '444 ci.00 Bonded Thru Budget Notary Services �-C� 6-e-ra <br /> Print or Type Commissioned Name <br /> Personally Known .✓ OR Produced Identification <br /> Type of Identification Produced <br /> 9 . <br /> DECEMBER 28.2010 7 of 10 <br /> I <br /> 1 <br />