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STATE OF FLORIDA ) <br />COUNTY OF ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Wkr% AVOW49 <br />Su" Isles Beach, FL 33150 <br />Toleplhone (305) 947-0808 Fax' (305) 94$-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 />By: <br />Title: R SIZjLe Q.-", i, 1r .c <br />51 <br />The foregoing instrument was acknowledged before me this 1 day of <br />t't'_",c I'\ . 20 ? L, by S - 6lief2. [name <br />of person], as - �Ro-„tet.-;L C wr,e— [type of authority], for <br />_5n I G C'n-I eezinc , _"n}— [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />,�` f6j4f "ORBER70 J PEREMORRpro <br />y. Nat Sri Pub'lc . State of FIOMA <br />?o;'r `' Eorrrr scion y Ilii 00810! <br />Co”" Ef.D"11JUI 14, 2024 <br />Nkali Public — State of Florida <br />or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced F4�1 c�t'� PM ,,t'f?-< <br />7of8 <br />