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ANTI - KICKBACK <br /> V' <br /> • <br /> City of Sunny Isles Beach <br /> e r 18070 Collins Avenue <br /> Sf'C99,•rio'` o" Sunny Isles Beach,FL 33160 <br /> OF SUN Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF A41440..�Pvet- ) <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 indirec sy me or any member of my firm or <br /> by an officer of the corporation. <br /> By: lid Al <br /> ���. LA 4131 ..34a411(' <br /> Title: IE1'l1 l��►JT' <br /> The foregoing instrument was acknowledged bef re me this '1 day of <br /> Et^,6NeFi2 , 20 17 , by LA-d y Sana v ice, , .�►�e, T <br /> ) [name <br /> of person], as [type of authority], for <br /> Atia,4)P.'1;:o• � a al/4of C. ►a+• flame of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: <br /> I <br /> (vette Cordova <br /> ft. �'" Commission;f GG158933 No • • Pu�-lic— State of Florida <br /> `'= <br /> n, a►3 <br /> , � Expires:November 8,2021 �. <br /> Bonded try Aaron Notary <br /> Print or Type Commissioned Name <br /> Personally Known V OR Produced Identification <br /> Type of Identification Produced <br /> ® /A) ei <br /> Rf-P,?-i1 -01 <br /> 7of7 �� <br />