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<br />( <br /> <br />~ <br /> <br />( <br /> <br />SECTION 21 <br />ANTI -KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF !/J/Ar-, I....~P€ ) <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein bid will be paid <br />to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, <br />reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corp tion. <br /> <br />1 < <br />~ klV/ h-7- <br />~Il- <br /> <br />By: <br /> <br /> <br />Title: <br /> <br />The foregoing instrument was acknowledged before me this 4 day of 06c.t:.fVI0f;(t , <br /> <br />20.QJL, by ?-II <, BE. (1/ /1 G 1- [name of person], as <br /> <br />?blGflAl. MN4VG(L [typeofauthority],for VILA 1550N ur;Vt1SUrPI"~ uf..P. <br />[name of party on behalf of whom instrument was executed]. <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br /> <br />~o''''YP''''<, Jfty 7' rUING <br />~ 0.<1, )689758 <br />~"". M, <br />~.> '- ~.::. LX .n~ ~OJi <br />,_. ,uIAR'. FI ,nc . ,;soc. Co. <br /> <br />of Florida <br /> <br />Print or Type Commissioned Name <br /> <br />Personally Known <br /> <br />,,/ <br />- <br /> <br />OR Produced Identification <br /> <br />Type of Identification Produced <br /> <br />END OF SEmON <br /> <br />PAGE 82 OF 130 <br />BID No, 08-10-01 <br />