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I • <br /> • <br /> I ,0NY/Ji <br /> S _ F,, <br /> °F' - , .e ANTI -KICKBACK <br /> I �-,n-- . - City of Sunny Isles Beach <br /> r',➢�; `_ o� 18070 Collins Avenue - <br /> iF , .F 00 ,tom Sunny Isles Beach,FL 33160 <br /> 1 c'''"or suo" Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> INew York <br /> -STAT€-OF.LORIDA ) <br /> ii Oneida ) <br /> COUNTY OF ) <br /> I 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 /> IBy: n.AL- <br /> Vice President <br /> Title: <br /> I • <br /> p <br /> The foregoing instrument w acknowledged before me this b day of <br /> , 20 I� , by /7 ai)iQ / - /976(6r. [name <br /> of <br /> person], as NOS 0(i, - [type of authority], for <br /> ,5.i-f jfl 60011 -1 [name of party on behalf of whom instrument was <br /> Iexecuted]. • <br /> AFFIX NOTARY STAMP HERE: <br /> I Oil ZiAtifiaY'-/13/i-Ate <br /> BRIANNA L. MOYER Mary Public— State of f • ; /eh/V 1t <br /> Notary Public in the State of New York <br /> Qualified In Oneida County 01M06294465 ra L nO er` <br /> I <br /> My Commission Expires Dec.23,20 2 I <br /> Print or Type Commissioned ame <br /> IPersonally Known xOR Produced Identification <br /> Type of Identification Produced <br /> I <br /> I ' . <br /> I <br /> • 7 of 10 <br />