Perry AdairCity of Miami Beach
Lobbyist Fee Expenditure and Compensation Forth
City Code Section 2-485
Due: 1 0101 /2 0 0 9
Expenditure for period of : 01/01/2008 through 1 2/3112 0 0 8
A statement shall be filed even if there have been no expenditures or compensation during the
reporting period. In order to withdraw as a lobbyist on an item which is no longer being lobbied,
initial in the appropriate space. Any item requested to be withdrawn will be removed
for the reporting period of: 01/01/2008 through 1 2131 /2 0 08
-:~rx~ mss.- - : _.:. ..~;v. _~ .,,.
byist: Perry Adair
Principal: The Waverly at South Beach Condominium Association, Inc.
Subject Application to modify DRB order Withdraw
YES ~~ NO
CATEGORIES OF EXPENDITURES
Food Beverage: S
Entertainment: $0
Research: <0
Communications:
Media Advertising: .y"0
Publications: ~ p
Travel: ; 0
Lodging:
Special Events: • 0
State of Florida
County of Miami-Dade
I, the undersigned lobbyist, do hereby depose under oath and affirm that the inf a~tion losed herein and any
attachment hereto are true and correct.
I'~rrv ~t. ndai5ignature
,~ ~
Sworn to and subscribed before me this ' j day of ,;~; ~ - ' ` ~ ` ` 200
.. 2%, SGNU tiARH15'
Notary Public ~_. ! ~- `'` ----Y- -° t~ ~ 5C'CAI.IlASSiDN1DD7918B1
-._.-~-~-__--- [~ EXPIPES:Odaber5,2012
My Commission expires: '~?=arrma7^m e:epx xaarysnkes
This /orm is to be signed, notarized and returned to the City of Miami Beach, City Clerks Of/ice. 1700 Convention Cente
Drive. Miami Beach, Ft. 33139 by October tst. A lino of 550.00 per day shall be assessed for « ports filed after the du
date. If you require airy assistance please contact ibis office at 305.673.7411 or at CityclerkLmiamibeachfl.gov