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Qualifying documents Weithorn y CANDIDATE OATH — =) NONPARTISAN OFFICE ('s2011 Ty SEP - . 8 P� � • 28 (Not for use by Judicial or `f School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) I , ibeed-e. Lk.ki-i-kbm. (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of ( -c, r 0...k s,S,- .;,..a, , N/A , (office) (district #) N/A , ; I am a qualified elector of l 1(; County, Florida; (circuit #) (group or seat #) I am a qualified elector of the City of Miami Beach, Florida, residing within the City at least one year before qualifying for City of Miami Beach elected office, with my legal residence being: i 130 5- } - 111Ux 1)(119-e v , Miami Beach, Florida. I am qualified under the ordinances and Charter of said City and under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have I qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. ‘ i i _ x L 1i) ' b c-. deck -,-) X Signature of Candidate Telephone Number Email A r; ►t '� - - �l aka a cL 1 3'1 I Address City State ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card): I O° f 3 .) tc, * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): Wit. 1 ee; h V e hocr. STATE OF FLORIDA COUNTY OF ti g r')) - D4J)e ��(( /I Sworn to (or affirmed) and subscribed before me this day of I7 LL/Ll!t 1 L 20 f . Personally Known: or T2-6 2- elQ.t- j2A---- NOTARY PUBLIC -STATE OF FLORIDA t''''''' Robert E. Parcher Signature of Notary Public Produced Identification: Commission #DD896080 Print, Type, or Stamp Commissioned Name of Notary Public \ Expires: JUNE 03, 2013 Type of Identification Produced: DOZED THRU ATLANTIC BONDING co., INC. DS -DE 25 (Rev. 5/11) Rule 1S- 2.0001, F.A.C. c I S O 2V1 4 FORM 1 STATEMENT OF 2010 Please print or type your name, mailing FINANCIAL INTERESTS address, agency name, and position below: Q e LAST NAME — FIRST NAME -- MIDDLE NAME : FOR OFFIi 8 SEP PM 7 WEITHORN, JERYL D EEDE I USE ONLY: MAILING ADDRESS: CITY CLERK'S OFF ICE 1700 CONVENTION CENTER DRIVE ID Code CITY : ZIP : COUNTY : MIAMI BEACH, FL 33139 MIAMI -DADE ID,No. NAME OF AGENCY : CITY OF MIAMI BEACH Conf. Code NAME OF OFFICE OR POSITION HELD OR SOUGHT : P. Req. Code CITY COMMISSIONER You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF Q CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE * *BOTH PARTS OF THIS SECTION MUST BE COMPLETED** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): 0' DECEMBER 31, 2010 0 ' SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see . instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (must check one): U COMPARATIVE (PERCENTAGE) THRESHOLDS QB 0 DOLLAR VALUE THRESHOLDS PART A — PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] (If you have nothing to report, you must write "none" or "n /a ") Fri AME OF SOURCE SOURCE'S DESCRIPTIO F THUOURCE'S OF INCOME ADDRESS PRINCIPAL 61 BERKOWITZ, DICK, POLLACK & BRANT 200 S BISCAYNE ; BLVD, SUITE 600, MIAMI, FL SALARY v f ac. td1 1 - n PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owng4 theleporting' person] (If you have nothing to report , you must write "none" or "n/a ") -� a NAME OF NAME OF MAJOR SOURCES ADDRESS TIRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE MORRIS GLANTZ TRUST TRUSTEE FEES, INVESTMENT INCOME TRUST • PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] (If you have nothing to report, you must write "none" or "n /a ") FILING INSTRUCTIONS for when and where to file this form 1130 STILLWATER DRIVE, MIAMI BEACH, FL 33141 are located at the bottom of page 2. INTEREST IN 400 S SHORE DR, MIAMI BEACH FL 33141 INSTRUCTIONS on who must file this form and how to fill it out COMMERCIAL LAND IN BROOKSVILLE, FL begin on page 3. OTHER FORMS you may need to file are described on page 6. CE FORM 1 - Effective: January 1, 2011 Refer to Rule 34. 8202(1), F.A.C. (Continued on reverse side) PAGE 1 . , \/ (.. --�� �7 PART D -- INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.] A (If you have nothing to report, you must write "none" or "n/a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES NA PART E -- r [Major debts] r (If you have nothing to report, you must write "none" or "n/a ") c) t ,. NAME OF CREDITOR I ADDRESS OF CREDITOR �'c 7 ') REGIONS BANK , ��I 1 C- Q, -., ',. 1 . • PART F INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses] (If you have nothing to report, you must write "none" or "n/a ") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3 NAME OF BUSINESS ENTITY NA ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 0 SIGNATURE ( uired): DA7 SIGNED (required): 0 I FILING INSTRUCTIONS: W HAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission initially, each local officer /employee, state signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to file within 30 days of the date of his or her that location. appointment or of the beginning of employ - If you have nothing to report in a particular Local olficersfem /o ment. Appointees who must be confirmed by section, you must write "none" or "n /a" in that P Y Besfilewith the Supervisor , the Senate must file prior to confirmation, even section(s). o Elections of the county in which they perma- nently reside. (If you do not permanently reside if that is less than 30 days from the date of their in Florida, file with the Supervisor of the county appointment. Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly - elected local office NOTE: State officers or specified state employees must file at the same time they file their MULTIPLE FILING UNNECESSARY: file with the 'Commission on Ethics, P.O. Drawer qualifying papers. Generally, a person who has filed Form 1 for a 15709, Tallahassee, FL 32317 -5709; physical Thereafter, local officers/employees, state calendar or fiscal year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are second Form 1 for the same year. However, a 201, Tallahassee, FL 32312. required to file by July 1st following each candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi- of another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. Finally, at the end of office or employment, To determine what category your position - falls under, see the "Who Must File" Instructions each local officer/employee, state officer, and on page 3. specified state employee is required to file a final disclosure form (Form 1F) within 60 days of leaving office or employment. CE FORM 1 - Effective: January 1, 2011 Refer to Rule 34 -8.202 (1), F.A.C. PAGE 2 X ' r . , l p No:n Form 9 QUARTERLY GIFT DISCLOSU (GIFTS OVER $100P11 SEP --S, P> I2: 33 LAST NAME — FIRST NAME — MIDDLE NAME. NAME OFACti9: n WEITHORN, DEEDS 41 09 1 .EII BEACH MAILING ADDRESS OFFICE OR POSITION HELD' 1700 CONVENTION CENTER DRIVE ` COMMISSIONER CITY 2IP: COUNTY_ FOR QUARTS ENDING (CHECK ONE) YEAR MIAMI BEACH, FL 33139 DARE DMARCH JUNE ❑SEPTEMBER O DECEMBER 20 if PART A — STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being filed You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form As explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS, OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT SEE ATTACH:3D ❑, CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT if any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PART C — OATH , I, the person whose name appears at the beginning of this form, do STATE OF FLORIDA COUNTY OF N r ; — Ocd Q . _____ _depose on oath or affiunation .and- say4hat e- infoRnatiofl- disclosed S r- afrmedj- an u m d -s cribed- before -e-t i+c - - � f' day of ; Q ✓c,L , 20 tI herein and on any attachments made by me constitutes a true accurate, by OQ _, t3 Oil ' ' and total listing of all gifts required to be reported by Section 112.3148, a / � Florida Statutes (Signature of Notary Public -State of lorida) Nttd9 (Print, Typ r ommissio - 1 i`,', 'r' ety { SIGNATURE OF REPORTING OFFICIAL Personal) X " I', . ... i�(]Q i t k`oJ - Type of Id it .: ' �` . E . 9 OD 792947 PART D — FILING INSTR '.4 ' Wed Dough Normal Notary Assn This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317 -5709; physi- cal address' 3600 Maclay Blvd. South, Suite 201, Tallahassee, Florida 32312. The form must be filed no later than the last day of the calendar quarter that follows the calendar quarter for which this form is filed (For example, if a gift is received in March, it should be disclosed by June 30 ) CE FORM 9 - EFF. 1/2007 (See reverse side for instructions) ' FORM 9 QUARTERLY GIFT DISCLOSURE (ATTACHMENT) RE: Commissioner Deede Weithom Ticket Distribution for April — June 2011 City of Miami Beach Mayor and Commission Office DATE EVENT VALUE Apr. 14 Beach Boys Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $148.00 ea. $296.00 Apr. 16 Bill Frisell Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 May 7 Amaury Gutierrez Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $56.50 ea. $113.00 _ May 7 Amaury Gutierrez Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $73.00 ea. $146.00 May 14 C.O.M.B. (La Faille Mal Gardee) Provided by City of Miami Beach • Miami Beach, FL 33139 4 ticket @ $66.50 ea. $266.00 June 04 Guest ticket for the Miami Beach Chamber Gala Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 1 tickets @ $250.00ea. $250.00 June 11 Diego Torres Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $56.50 ea. $113.00 June 11 City of Miami Beach reimbursement I For airfare for spouse as an official Designated member of the City delegation Trip to Art Basel $1856.77 I I 1 • f ; { ' | �� �� �� , ^ m~�.m w"�m��m�~�=���m�"��~ �� \ / a r NU o] \k. (It! ov Book on line It, 105(0 Your reservation { -----~—^ ' - ` Reservation reference: 67B4U Your is :confirmed . � Thank you for choosing Air France. Have a pleasant trip. Your t ' Your departure flight: Miami - Paris . Saturday, June 1�, 2011 ' AF695 - Voyageur 5:50 PM Miami, United State of America Deadline for check-in : 4:50 PM 8:25 AM Paris, Charles de Gaulle France - TERMINAL 2E Flight operated by : Air France Aircraft :ar47-400 Inflight meal served : M | Breakfast Class : H duration : 08h35mn non stop Baggage allowance :1 b I l aggage items . . • Your return fli�d � Paris - ~�� Tuesday, June 21.2O11 A�'�� 4:45 PM P����G�.��-n�|�� / Paris, Deadline for check-in : 3:45 PM 8:10 PM Atlanta, United States of America TERMINAL Flight operated by : Air France Aircraft ' Boeing 7r7-2oo Inflight meal served: Me Class `w duration : 09h25mn non stop Baggage allowance: 1 baggage items Tuesday, June ' . AF8650 - Economy 9:55 PM Atlanta, United States of America - TERMINAL S { 11:51 PM Miami, United States of America Flight operated Aircraft |nnimmmmo|sen/ed'no available Class : N duration 'o1xoemn non stop Baggage allowance: I bggage items ' | ! ' | ----- ------'` -- - — -- - --- Ticket pricing - - ' - '' - -- ' | / Price excluding tax : umm2,636.00 i Taxes and surcharges: umo270.54 Total paid online : umo2,90e.5; "q . / Credit card paymen : VISA card �-------- - — - - --- ---- — - - --- -- - - ' — - ---- - | / � | Passengers • " Mr. WEITHORN MARK Frequent flyer card : Not specified ' | | Number of tickets : 0572307356879 Mrs. WEITHORN JERYL D Frequent flyer card : Not specified � | Number of umo� . . � Preferences .".^.reflces - ---- - ' ! Mr. WEITHORN MARK Meal Status Seat Status Miami Pads no 22E confirmed - selection ' °" Paris - Atlanta no selection - 37G confirmed Atlanta - Miami no selection - 23E not available . - -_ - Mrs. WEITHORN JERYL D Meal Status Seat Status Miami - Pans no selection ' 22F confirmed Pans - Atlanta no selection ' 37* confirmed Atlanta - Miami ' no selection - 23F not available �______ _�� Contacts ' '-- �---'--------------------- ---------'------------------ ------- - --�]�'------ E-mail :markw©dpi-niami'com Telephone :ooesa8mo13 ----------- ---------'-------� ----- --- -' - - - --'-'- - — Regulations ', Some additiona information is required by the authorities in you country of departur , destination or transf ' ' | / | . ` ' . .. � . / . / RAILEUR.OPE 44 South Broadway White Plains, NY 10601 Tel: (800) 848 -7245 Fax: (800) 361 -7245 Website: agentraileurope.com PROFORMA INVOICE Date: 05/22/2011 Departure Date for Europe: 06/11/2011 Attn: MARK WEITHORN Lead Name: MARK WEITHORN Billing Address: 1130 STILLWATER DR Booking #: 17651690 MIAMI BEACH, FLORIDA 33141 Booking Status: HOLD Selected Ticket Delivery Opti )n: E2PAPER Phone: (305) 588 - 8313 Fax: Created by: cfitch Email: deede @deedeweithom.com Agent Booking #: Expiration Date: 06/02/2011 Here below please find a summaryof the above- referenced Booking that is currently on a HOLD status. Please review all the information for accuracy, and ensure that the passengers' names are correct per your clients' passports. All prices and schedules are subject to change until paid and ticketed. Oncei payment is received, a cancellation fee between 15 percent and 100 percent applies to totally unused and un-validated prod icts. Seat reservations, Shipping & Handling and Call Center Service Fees are non refundable. ITINERARY 1_ Departure: PARIS EST on MO 06/13/2011 at 17:24 Arrival: STRASBOURG on MO 06/13/2011 at 19:42 TRAIN ( This product is CONFIRMED) Train No: TGE 2069 Passengers: 2 in party MARK WEITHORN Class: 1st CI Leisure 2 Passengers: 2 Reserved seats: Coach: 001 NON - SMOKING Seats: 075 (WIN),076 (AIS). PNR: RHBMZO Ticketing Time Limit: 06/03/2011 11:24 (EST) I Ticket Delivery Option: Paper Tickets � 2. Departure: STRASBOURG on MO 06/13/2011 at 19:51 Arrival: BASEL SBB on MO 06/13/2011 at 21:07 TRAIN ( This product is CONFIRMED) Train No: TER 96265 Passengers: 2 in party MARK WEITHORN RPP ( Total 1st CI Leisure 2 Adult 1 Adult USD , 201.00 _ After - Sales: If ticket not used 100 %refundable upto_.3_ days _.before_theirain.riepar#ure_d ate. Thereafter, -no- refund- allowed -- Can -be- exchanged- in- F- r- a ACe - -- prior to departure. Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed, 1st CI Leisure 2 Adult 1 Adult USD 201.00 After - Sales: If ticket not used, 100% refundable up to 3 days before the train departure date. Thereafter, no refund allowed. Can be exchanged in France prior to departure. Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed. Commission: (0.0 %) USD 0.00 Sub Total: ) USD 402.00 PNR: RHBMZO Ticketing Time Limit: 06/03/2011 11:24 (EST) f I Ticket Delivery Option: Paper Tickets Rail Protection Plan: 0.00 Total Price: USD 402.00 3. Departure: BASEL SBB Arrival: LAUSANNE OPEN TICKET ( Ticket only, No reservation included ) First Date of Validity: FR 06/17/2011 Last Date of Validity: SU 07/17/2011 Passengers: 2 in party MARK WEITHORN i 1 ■ RPP Total • , * FIRST CLASS 1 Adult USD 118.00 FIRST CLASS 1 Adult ,' USD 118.00 ' Ticketing Method: Paper Tickets Sub Total: j USD 236.00 ' - Rail Protection Plan: I 0.00 Total Price: ■ USD 2 3 . I - 4. Departure: LAUSANNE on FR 06/17/2011 at 13:22 Arrival: DIJON VILLE on .FR 06/17/2011 at 15:21 TRAIN ( This product is CONFIRMED ) Train No: TGL 9268 Passengers: 2 in party MARK WEITHORN RPP Total 1st CI Premier Full Fare Adult 1 Adult I , USD 1139.00 After - Sales: If is not used, 100% refundable up to 3 days before the train departure date. 50% refundable thereafter, up to 2 months after train departure date. Exchanges can be made prior to departure, or in France up to 2 hours after train departure date. * *NOTE: For Print-At-Home tickets only, if not used, 100% refundable up to train departure. Thereafter, no refund allowed. Exchanges can be made prior to departure, or in France up to 2 hours after train departure date All Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed. 1st CI Premier Full Fare Adult 1 Adult ; ' USD 139.00 4 After - Sales: If is not used, 100% refundable up to 3 days before the train departure date 50% refundable thereafter, up to, 2 months after train departure date. Exchanges can be made prior to departure, or in France up to 2 hours after train departure date. * *NOTE: For Print -At -Home tickets only, if not used, 100% refundable up to train departure. Thereafter, no refund allowed Exchanges can be made prior to departure, or in France up to 2 hours after train departure date. All Refunds / Exchanges when applicable are subject to a 7% administration fee and must be retumed to the issuing office within the time frame allowed. Commission: (0.0 %) USD 0.00 Sub Total: USD 278.00 Reserved seats: Coach: 001 NON - SMOKING Seats: 052 (AIS),053 (WIN). PNR: RHLJVX Ticketing Time Limit: 06/07/2011 07:22 (EST) 1 Ticket Delivery Option: Paper Tickets i I Rail Protection Plan: 0.0 Total Price: USD .00 , ' I 5. Departure: BEAUNE on TU 06/21/2011 at 07:52 Arrival: LYON PART DIEU.on TU 06/21/2011 at 09:35 1 TRAIN ( This product is CONFIRMED) ! I Train No: TER 91505 Passengers: 2 in party MARK WEITHORN ; RPP i Total 1st CI Full Fare Adult 1 Adult USD 62.00 t After-Sales: Trains with optional reservation (TIR/TIB): Fully refundable up to three days prior to train departure date, then 50% refundable up to 60 days after train departure date. Thereafter no refund allowed. Can be exchanged in France free of charge prior to departure date, then a 50% fee will apply. Trains without reservation ( TER/CIC): 90% refundable up to 60 days after train departure date. Thereafter no refund allowed Can be exchanged in France with a 10% fee. All tickets can be used up to 2 months after departure. Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed. I 1st CI Full Fare Adult 1 Adult ' USD 62.00 After Trains with optional reservation ( TIR/TIB): Fully refundable up to three days prior to train departure date, then 50% refundable up to 60 days after train departure date. Thereafter no refund allowed. Can be exchanged in France free of charge prior to departure date, then a 50% fee will apply I Trains without reservation (TER/CIC): 90% refundable up to 60 days after train departure date. Thereafter no refund allowed. Can be exchanged in France with a 10% fee All tickets can be used up to 2 months after departure. Refunds / Exchanges when applicable are subject to a'7% administration fee and must be returned to the issuing office within the time frame allowed. I Commission: (0.0 %) USD 0 00 Sub Total: USD 124.00 1 PNR: RITRFZ Ticketing TJJrle Limit:J /1112011_01 .:52_(EST) Ticket Delivery Option: Paper Tickets Rail Protection Plan: 0.00 Total Price: ' USD 124.00 1 6. Departure: LYON PART DIEU on TU 06/21/2011 at 11:26 { Arrival: AEROPORT CDG 2TGV on TU 06/21/2011 at 13:20 1 TRAIN ( This product is CONFIRMED) { Train No: TGD 5150 Passengers: 2 in party MARK WEITHORN i RPP Total 1st CI Leisure 2 Adult 1 Adult , USD 124.00 After - Sales: If ticket not used, 100% refundable up to 3 days before the train departure date. Thereafter, no refund allowed. Can be exchanged in France prior to departure. Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed 1st CI Leisure 2 Adult 1 Adult USD 124L00 After - Sales: If ticket not used, 100% refundable up to 3 days before the train departure date. Thereafter, no refund allowed. Can be exchanged in France prior to departure. Refunds / Exchanges when applicable are subject to a 7% administration fee and must be returned to the issuing office within the time frame allowed. Commission: (0.0 %) USD 0.00 Sub Total: USD 248.00 Reserved seats: Coach: 003 NON - SMOKING Seats: 104 (AIS),106 (AIS). PNR: RIUPOJ Ticketing Time Limit: 06/11/2011 05:26 (EST) Ticket Delivery Option: Paper Tickets Rail Protection Plan: 0.00 Total Price: USD ( 248.00 Seat reservations:Your seat reservations were made simultaneously and seats are adjoining or as close as possible.Seat numbers do not necessarily follow numerically. Rail Protection Plan: it's not too late to protect your rail documents. You have up to ten days after purchase or prior to departure from North America, whichever comes first, to add the the Rail Protection Plan. The Plan will protect your passes /tickets in the case of cancellations /exchanges due to medical illness /death, railroad strikes and in the case of loss /theft. To get more ! information, call us at 800 - 848 -7245_ SHIPPING AND DELIVERY Shipping Address: MARK WEITHORN Service Type: Standard 1130 STILLWATER DR Carrier: UPS MIAMI BEACH, FLORIDA 33141 US Shipping and Handling: USD 1800 Phone Number: 3055888313 Email: deede @deedeweithom.com SUMMARY j Product Price(Paper tickets may include a surcharge - see coupons) USD 1,288.00 Total Rail Protection USD 0.00 Shipping And Handling USD '18.00 Call Center Booking Fee USD ' 15.00 Amount Due USD 1,321.00 Gross Amount Due USD 1,321.00 Thank you for booking with Rail Europe, IncWe appreciate your business ! CREDIT CARD PAYMENTS - Simply call our Automated Payment system at (800) 848 -7245 for US bookings and (800) 361- 7245for Canadian bookings. Select option 1 for existing booking and option 1 again for Payments. arx It G • )1 r , 1 t • Deede Weithorn Re- Election 2011 CITY NATIONAL BANK OF FLORIDA 1015 326 71st Street 300 71 St Miami Beach, FL 33141 -3014 714e 3 lac , /� Miami Beach FL 33141 Y 63- 436/660 9/8/2011 PAY TO THE ORDER OF City of Miami Beach $ * *1,020.00 O ne Thousand Twenty and owl 00 *,r * * * * * * * *,r,r * * * * * * *,t, *************, t********, t*******, t*****, t* *,t *,t * * * * * * * * * * * * * *** * * * * * * * ** *DOLLARS �t City of Miami Beach _ � , and After 90 Days 0 MEMO ^' Campaign Qualification "'