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Mitchell A. Bierman, Esq. - Weiss Serota Helfman Cole & Bierman, PL City of Miami Beach 1700 Convention Center Drive C I 4 ` Miami Beach, Florida 33139 www.miarnibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Mitchell A. Bierman, Esq. Business Name: Weiss Serota Heitman Cole & Bierman, P . L. Address: 2525 Ponce de Leon Blvd. , 700 , Coral Gables, FL 33134 Office Telephone Number: (305) 854-0800 Cellular Telephone Number: (305) 798-0059 Email Address: MBierman@wsh-law. com If more than one lobbyist,please list: 1) 2) 3) 4) 5)__- 6) 7) 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#: (—et) GC):.! ,O/1/1 Amount paid: • Sour Date paid:_ Processed by: / Date: I F\ t.ER SAIll,FORMS\LOBBvIST FORMS\ANN 1AL L.02E ST REGISTRATION FORM rog.dxx ..i rellaneous Cash Receipt �. i_ t �,g,3__a ����t..�i_.:;:01 k u CITY OF MIAMI BEACH :-.. . , ..it, Y r- z 1 L . r,, Cash Credit Card Check# $ c 20 t C ) --c( d .A icx I ( L A - -Received of ,k...- 0i- .. Address /2e7 ✓ ``f i(=i a c Leo, 1?; f /06 60(o I i k?4 For Z- (/61-' LA C , . A �A-{. c /?o1 , (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director - • By ..,.: '.., Account Number: _ - 006 ------ i--114;\i ..,. Pre parer:arer. Dept. ( 4:i(leiCk EXT: 217/(1' P !2 CT) CC) — * /0� -1 /�� -� m CD D• J J W J 0. J. J. C CD CD '--4 3 = N O r+ CD C) C) -I C7 -4 C) Co `c Di 3 *k --i C) N r-+- C) O . .i--••-• O r+ O'< CD -h D NNCI) 00 I 00•----•4, 0 - - 2 03 . C) 00 -- 0 - C CD --L- CD OD OD CDON - - 10 C O) OD -1 0 0 0 0 - W CL - 01 0 0 -\ 'z Di ■-• •-•--■ -I 01 01 0 r+ `C D 3 OD •- -0 -0 r C7 --.• - CD CD DD -- 23 ND ND O f +--1 H C7 -- 0 r+ C) 00{f} r- O ---, 3 - 'mco0i I _EA O Z -0 m 010- 0 3 O OOO 23 0 00 - 1 -.I -+ -1 - - O -1 -'. O 0 0 3 C -I N0_ O CD C7 O 23 CJ) 0) I # - CD 0) -• W r-F i `< W W C7 CD 1 •