David Martin - Annual Lobbyist Registration Form MIAMI BEACH
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City of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida 33139 www.miamibeachfl.gov
City Clerk'Ofce
Tel: 305/673 —741 1 Fax: 305/673 -7254 66)-SP
ANNUAL LOBBYIST REGISTRATION FORM
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Name: David Martin
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Business Name: Terra Group
Address: 2665 S. Bayshore Drive, Suite 1020 Coconut Grove, FL 33133
Phone: (305)416-4556
Email:
If more than one Lobbyist, please list:
1) Francisco Canestri
2) rU
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3) ' 'I
MCR#: 10 al)c.' r7 i °,7=
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Send this form with a check for $500 payable to
the City of Miami Beach for each lobbyist
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx
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City of Miami Beach-Florida
Finance Department -
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1 City Hall .
1506213-1 03/03/2015 BR1 T118;
Tue Mar03,2015 10:01AM Trans#17-17
17 $500.00 MCRCLERK - MCR-City Clerk
* MCR#: 402728
1 ITEM(3): TOTAL: $500.00
Check (002067) PAID $500.00
Have a nice day
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