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STATE OF FLORIDA <br />OOLIM OF froward <br />ANTI -KICKBACK <br />City of Sunny Isles each <br />I WM CMM AVEMW <br />Sway IWe& Bemdx FL 31184 <br />Tekoha ; (M) 947-01546 Fax (305) s4D.31 13 <br />ANTI -KICKBACK AFFIDAVIT <br />I, the undersigned, hereby duly swom 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. 1\ <br />By: <br />Trtle: <br />The Foregoing instrument was acknowledged before me this <br />August , 20 16 ' by Jason R. Wells <br />of personit as ' President[type of <br />Jamy [nvestments, L.L.C. dfwa F_lite tent pRmpany[name of party an behalf of whorn <br />executed]. - <br />AFFIX NOTARY STAMP HERE: <br />LEMIA ROMAN <br />"Vty Co.45Fa <br />rSsro.1 u FPzaa-dal <br />''•.,�,.t, • E3(PlRES,Arhry 3S, ?019 <br />(uri i9lq� s7 Phx+d�yoss+fSRrvss.or.� <br />23rd day of <br />(name <br />authority), for <br />instrument was <br />Notary Public— State of Florida <br />� 4-h 6 4 9*v­ q e-7 <br />Print or Type Cornmissioned Name <br />Personally Known V T OR Produced Identification <br />Type of Identification Produced <br />0=CL , v Z4. WiD 7 of'f , <br />