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Felix M. Lasarte Annual Lobbyist Registration Form MIAMI BEACH 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: O. ( sat-k, 6-s• Business Name: -The osat/e Law -F / , Address: 3 P-5 NE M I ,$-V e n(�, 41-3# dim(', n 33137 Office Telephone Number: (,3Q5)S 277 Cellular Telephone Number: 13U1 915- 0933 Email Address: ,Iad /asatitelat,). GO/Di1 If more than one lobbyist, please list: 1) 2) 3) .-u 4) I • 5) 6) 7) -, d.r Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: 4 .O / (4 �7 Amount paid: Date paid: I ( 2;2_ ( Processed by: C Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx City of Miami Beach-Florida Finance Department 1 City Hall 1502220-1 01/22/2015 BR1 T131 Thu Jan22,2015 11 :44AM Trans#19-19 19 $500.00 MCRCLERK - MCR-City Clerk * MCR#: 401420 1 ITEM(S): TOTAL: $500.00 Check (00002859) PAID $500.00 Have a nice day! Miscellaneous Cash..Receip F. ; ts." 40 4 ° F CITY Of MIAMI BEACH 401 0 No. �e. • _ to Credit Card Check# O :.; El Cash Cr .ay-- 22. 20 '' S x� Received of Address \ • /��/ For L+ ' S n Y t • .t • • (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director BY Account Number.• e`�•{ • Pre arer:. r - - -- --...� Dept: P