Ira D. Giller - Annual Lobbyist Registration Form \c);-1
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City of Miami Beach (�
1700 Convention Center Drive '' U
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 .
IRA D. GILLER, A.I.A.
Name:
GILLER& GILLER, INC.
Business Name:
Address: 975 ARTHUR GODFREY RD., SUITE#600, MIAMI BEACH, FL 33140
Office Telephone Number: 305-538-6324
Cellular Telephone Number: 305-205-3878
ira @gillerandgiller.com
Email Address:
If more than one lobbyist, please list:
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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#: 0 )1 •
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Amount paid: Date paid:
Processed by:
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F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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City of Miami Beach-Florida
Finance Departrent-
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1 City Hall
1506113-1 03/02/2015 ER 1 T-125
Mon Mar02,2015 10:45AP�1 Trans#23-23
23 $500.00 MCRCLERK - P�±CR-City
Clerk
* MCR#: 402717
1 ITEM(S):
TOTAL: $500.00
Check (019466) PAID $`500.00
Have a nice day!
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