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Carli Koshal - Bercow Radell & Fernandez� 7 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk'Office Tel: 305/673 —7411 Fax: 305/673 -7254 ANNUAL LOBBYIST REGISTRATION FORM •Name: Graham Penn Business Name: Bercow Radell & Fernandez Address: 200 South Biscayne Blvd., Suite 850, Miami, FL 33131 Phone: (305) 374-5300 Email: .gpenn @brzoninglaw.com If more than one Lobbyist,please list: •I -1) Michael J. Marrero—mmarrero @brzoninglaw.com t =2) Carli Koshal ckoshal @brzoninglaw.com S -3) Monika Entin mentin @brzoninglaw.com -4) Jeffrey Bercow jbercow @brzoninglaw.com / -5) Michael W. Larkin mlarkin @brzoniglaw.com c Justin Karr Jkarr @brzoninglaw.com -7) Matthew Amster mamster @brzoninglaw.com 8Gianeli Mestre g_mestre @brzoninglaw.com Gregory Fontela gfontela @brzoninglaw.com (.7). maim 9O7f ` up q ;h Amount paid: 1/1�)1 S Date paid: 1/\I1 1S Processed by: ; . Carncr■ Date: %1 rNo � 1 Send this form with a check for $500 payable to ;=;; C_�! the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx y e Iiiiiscellaneous Cash Receipt ,_a:,_ , 03 -g9 CITY OF MIAMI BEACH t,, # �f p 1: y C1 t...-10.1 �p��z0 ) �,_ ,-..--,..i.:':,7:-.:.'::,.-: ❑ Cash InCredit Card Check# '''°'6).-- 7TSh I � 5 Received of (Ai 6-1- 5 6`1" -20 I ; =. Address 1 y„► Y e For(;ee-414c4 i.--1 :Cr)e.n n ‘ All (Vice I ), hi 4 r(6re, , (0 f 1 1<O::_S 1-4:4' 1 ,ill O 0:-.1(ei / 11..:3 ici, )--'. -, • - --- _.__ pf i. Al-14f--- _-+-} y s fit--- ter. - G(.6) -f 6.-1,v I et C) A / a / -, (THIS INFORMATION MUST BE COMPLETED)LETED) > O •.:'-., ' tr Office®f�ir�ance Director _:� t By 1 Account Number: � 1 Q � LI LI _ a Preparers \ '''� 6 Dept:. CA ff \../ (iK . - - -_ 6cr: 9911. '..: '-_'1 t a -' # CA m -0-1 n c O C (D —i3 �- N) CD 0 -1 C7 C) X-m {AC/) - cam Cu tv 3 4* Cs' CD N r+ Q O O a O'< CD -h O OCJ) 0 ---• i �' CD - CD CO 2 D 3 O - _CD O -.IONO � -0 p)• _ O -•�� As Q CnCCD []7 CD -1 j CSI I-- `< 01 70 3 CO CD CD[D ,----r- C)_O C) -- ` _--EA I- CO CD '{ M- CD O XJ 01 I EA CD� 3 OD C3i - -. O O O W 0 0 3 ---1 CL O CD = _. Cu �7 CA C) O C7 CO _.• O ri' I CA O C—) CD