Laserfiche WebLink
CF �J�NY'SLE�@ <br />U T <br />fyP y9?.F6QRA Sot <br />Affidavit of Compliance with Anti -Human Traffickina Laws <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 <br />The undersigned, on behalf of the entity listed below ("Entity"), hereby attests, under penalty of <br />perjury, as follows: <br />1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida <br />Statutes. (Source: § 787.06 (13), Florida Statutes — Human Trafficking). <br />2. The undersigned is authorized to execute this affidavit on behalf of Entity. <br />X (� W <br />,,/� I <br />Date: 4 e , 20" Signed: _ /{,ram �" <br />Entity: �4�- c„r '�'� Name: �i u/ 6- 6vn1,Jq-- / <br />Title: <br />STATE OF r" lorjC Cd� <br />COUNTY OF S ro yyarl <br />The foregoing instrument was acknowledged before me, by means of X physical presence or ❑ <br />onl' a notarization, this tom' � day of —A pri i 20 2(P, by <br />i t , n ►1e 11 as Pr e�; A ent for <br />1'01 i <<rLa W,.+Il Pas i o ri , who i personally known to <br />or who h4s produced as identification. <br />Notary Public Signature:State of Florida at Large (Seal) <br />Print Name: My commission expires: 2-� , 2�� <br />Notary Public State of Florida <br />Debra Lon ?ocer hlck <br />My Comml4eton NN Q477Sf <br />Expires 4l1712029 <br />