Laserfiche WebLink
<br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF 6 12,1(<./ "1l~ ) <br /> <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 /> <br />By: #ag <br /> <br />Title: ~?S; J2.-<~ <br /> <br />The foregoing instrument was acknowledged before me this I / day of <br />;::a.-6 Il..V 14 fl-j , 20-LL, by )2/ ~r.1tU~o ;11. CIH1/t.. W [name <br />of person], as j7,Z<l.s.'; cI c5-vT [type of authority], for <br />,:I,u~/)s {'If-fl t(d/V t;- G ,-::J;:,u<:,. [name of party on behalf of whom instrument was <br />, , <br />executed] . <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />~tS'y PUll( LUIS A. DEL V Al.LE <br />..<> ......./c> MY COMMISSION * EE 138713 <br />*.~ * EXPIRES: February 17, 2~16 <br />"~<l'" Bonded Thru Budget NotaIY SeMceS <br />"t$OFf~CI <br /> <br />c s' --C. ~ <br /> <br />Notary Public - State of Florida <br /> <br />Print or Type Commissioned Name <br /> <br />Personally Known OR Produced Iclentification -.L <br />Type of Identification Produced '~l-;' e;:/;J- '.~)JJ-"t.'.s UCbvJfi' <br />, <br /> <br />OECEMBER 28, 2010 <br /> <br />70f7 <br />