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MCR 299371
0911113-1 0066 04/21/2009 001 6 MlscellaneousCash Receipt nc~-city C1?rk 299371 f3.00 CITY OF MIAMI BEACH No. 299371 Cash ~CredftCard OCheck# $ 3, ~zl ~; z-r-~ ~ - ~ 20_ Received of ~ 1 JlJ 1N l N ~ ~, Address For t ~~ Jr~<u'~ ~, - /!,/lj (THIS WFORMATION MUST BE COMPLETED) OfflcsofFlt~iar~ca-Dtreetor By _ i.' Account Number C~/ `~ir~L-i^'-- /> rf ~ ~~~' ~', ~ r^,/ ~'~- Preparer. ~1 ~~~~,~ ; Yf ~r''1 E' ~/ aPt. C "~ `~ ~~~/l~,f./; . ~: (~, ~~ ~ ~- i