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O� S'tAN Y-J<�CU,d <br />� F <br />ryF l FLo ,o SSP <br />CTr OF SUN PCO <br />STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI -KICKBACK AFFIDAVIT <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 />The foregoing instrument <br />April r 2018 by <br />r <br />of person], as Estimator <br />Superior Landscaping & Lawn Service, Inc. <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />By:\Cv� <br />_ <br />Title: atimator <br />was acknowledged before me this 20 day of <br />Jesenia Otero Fname <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br />o"Pubric tate of Florida <br />3eTN R GE�Ts <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />BETTY RGERDTS <br />a 04" <br />Notary Public -State of Florida <br />Commission r GG190486 <br />`�'' My Comm, Expires Mar 28, 2022 <br />Bonded through National Notary <br />7of10 <br />Assn. <br />7of10 <br />