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Marcos Perez Annual Lobbyist Registration Form
MIAMIBEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: NA 0(Co -`CkQL Business Name: Es L— H of c((n 634 J - Address: (- 1 1 ,_S 4D421 M I GrK11 -Fl— 3 31 �P Office Telephone Number: (30S) D-1 D I-1'D Cellular Telephone Number: C:3"-- Email Address: M v&OS @ b l I i h v G�I n S. c 1 If more than one lobbyist,please list: in t�� 1) Cs) r., 2) 3) _ rrl �fl r h I 4) Y_ o,, _ 5) c 6) rU_ 7) Submit this form to the Office of the City Clerk, along with a check f $500 f r each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City,Clerk's Office Use Only MCR#: LION (01 Amount paid: 51)3 Date paid: Processed by: C /Dom-LO- Date: 2 ii‘ F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx City of Miami Beach-Florida Finance Department 1 City Hall 1503720-1 02/06/2015 IR1 T114 Fri Feb06,2015 O1 :1OPM Tr city 8 $500,00 MCRCLERK - MCR-City Clerk MCR#: 401469 1 ITEM(S): TOTAL: $500,00 Check (000308) PAID $500.00 Have a nice day! .._.,.. -. r, ._ v,. ,. a �..., 1. _;: .. 5 - nr�"i«:='C- a:.. s"P -4Y'r. +r'.. 4" :'i .,... P?+.�r..,.r _.-,., n. ...... :...� >_ y.. ,,,,,„.i.. ;._.-z_ i.._ , ,-,.,. .�. z....!.. .. .:� f,`: �:- � ;:;,*y E''+,•^�:, ..-'fir' 'MF6,-.:!� � x. -t:: t_.!. r 4 w.-.t s .:-.t r c c,^, -#. S, .rh a ,.y, .F a "r -..t $ .3.,,'�". N. <•..., „fy au�..:-. t ``x,F -�.te_ i "5+ L s .a . .'r r s ,h 1 - t` t b - x r ' '2-'.j t ".,r J:, a= { - cx x t - _ +-. `'�a 2` :111,G 3'';,:iti '^fi r°J i iI s•§ 5 rt e.:,.' ' ( r# �,.. hz 'm Miscellaneous Cash Receipt v :CITY.OF.M�AMi BEACH *y �c *'S" F w ',. ..• 4 .l ,.� _ - ''_w' - - - - ôèkk s&'�a'�°"' • ❑ Cash :0 Credit Card Check:# z1 ,�� Recelv6d of !_ • = r �,, t - �- • 1 .5bF• _ s" fir•x.r yK�J sr ..:,::-..,,,i:-..;::!•Q....,:,•:::::,,:-,,,-,::.,:,,,,,,,:iv,..-,,,',',. .-,,,,;;;,,,:.:-•;;=.:::-:::..-•;-,-.:'-iii---,------, :.._, , ' ' .,,.,,..,--'-.-_--tt‘,7=•--,•_- • • .1&41-4''' ' - ' -''� � "rte' � �������� ��"�4t" -.• 1 t k r t -3 j` /`s t) "f �+``N #�~ :�.. .�'�rt- t r`< cY ar` P j --,--,=-,-7<-:-. ;� '�'�<;..�c`��'1't-. �.a}�.��' �.5,�y, j ::L k 4 k,L -� r�...'.} �y- - S •xe o�FFan [. YY,'��„�Ax�"K�i 7 ETED Offtc x �� > ,� ;a. , iS° 1FONU 't©N MUST Be BE CON( L e. 'Sx k* ... s. - .r �" ''lax.,•{ ��T�`� a `ri 2n& � ru �.�~� �3"t_ 1 � T- - .yam d t 3+Y fi � �} c � y:f N' J :'� t� i°�E K ,,Y S - :1-:,!;=:,,,' �(� c � 1 y.• .? tN..ey, R'f.� r j ,, Y A ,'ham .:r,.r -� fr 't r: d ¢ �'� K� � � +f7'�` � t� •: Account Number:_ K �, t 3'"3:+;t:': ;t: riCin Y K,r,::::3 a s .- t h.,:: t x r. ¢ - 00,„„1:1's b t4 X.. ,r�;. L�f.A`,��'t z?.�'� hh '�e*:, 5 �,1, F�.i.-:, .r::i =.rr _ .�: i� !f4; � -� ��- �4 � �.t. �" s, ;..y. r'd- < ��. '# _ ���-_i `` C � 1r Y ,. :4•� s��. r'%4 s.Syt2��h s t• '� '�.�>:��f a K .� �y¢��� � J d �Prepare; :\Dept: '`'. � e#-ax''. t'�'x�- *t�,Y`����: -'+ tie , �� s •,t&.,` _ 'r' - • a ,r' .a�,�s't��'' L` ' �3 .t i r-:. jy"h 3 '� sue,: 'S t ( t �:Y q#5. _S 2 e, a.! '`+te'`•.{ `` t r�^a r .'.�' 9 .'t,�-�� " �_. y '- - is,! rz kti`t`^ 'E Jn �`! �'v `�` Ei ''_ k ,.b .. 7. `. . „_ ya�?;a qtr_ ,�r1, - w' .- ... .-, ,'r-` r...