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• <br /> . <br /> • <br /> 7°�5�.•.- • ANTI -KICKBACK <br /> I V - 5 = <br /> `_�-' • City of Sunny Isles Beach <br /> _ 18070 Collins Avenue <br /> '4,c'''.F o►`°os. Sunny Isles Beach,FL 33160 <br /> ''p,,,,w'''' Telephone:(305)947-0606 Fat(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> ill <br /> IN New York <br /> -STAT€-OFFEORIDA ) <br /> - 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 /> By: n., 11..- . <br /> Vice President <br /> • Title: <br /> • <br /> I �> <br /> The foregoing instrument w acknowledged before me this b day of <br /> Q , 20 f f , by /1(�n1 �"1Gy�r [name <br /> of ersn], as N(li 0(>e( - [type of authority], for <br /> 1-exii (Boni J [name of party on behalf of whom instrument was <br /> 1 executed]. <br /> • AFFIX NOTARY STAMP HERE: • �i- <br /> r •%��/f <br /> lLbfl?6�Y. <br /> BRIANNA L. MOYER .fir <br /> .tary Public—State of • • /V 'j�/9/t <br /> Notary Public In the State of New York QQualified In Oneida County 01M062944&5 Mail L Maier <br /> r <br /> I My Commission Expires Dec.23,20 2.I <br /> Print or Type Commissioned Name <br /> IPersonally Known At OR Produced Identification <br /> Type of Identification Produced <br /> I <br /> I <br /> I . <br /> 7of10 <br />