Jose Felix Diaz - Akerman LLP a g ; I
�y� try,,_y.
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: JOSE FELIX DIAZ
Business Name: AKERMAN LLP
Address: ONE SE THIRD AVENUE, 25TH FLOOR, MIAMI, FLORIDA 33131
Office Telephone Number: 305-755-5828
Cellular Telephone Number: 305-785-8280
Email Address: jose.diaz @akerman.com
If more than one lobbyist, please list: —'
1) ;-
2)
3) =
4) - tJ1
Y
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#: r)) b Z_
/
Amount paid: 5 o i o nn Date paid: '? , '"
Processed by: GJ 6,10)11 Date: qfil9ic
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
. 1
CD -. - CAD m -i -- m c)
= c..31 –s cr1
CD 1--1 3 -,- N 73 rf-
C7 —I C7 0) C7 W 'C
m {J3 C/) -• - :
3 4.k CSI CD N ri- 0 0
^^ -- O10 O•C CD -i,
CAD C/D O 1
0%---,-1=.. - OD -• 2 CI
O -- O O� pJ CD
_
^J O N O -+
1 --♦ -• O CD --. CU
----I 0
N0OD --•\
iN3CT1 --+ r+
-A D CD OD 03
bZ77 O\ CD CD
,7 Cb on 1 T -0 m 1 77 p 3 �.
O n t1i 0-
O , CA W
O CD *k
Lrl
1
CD Lrl
-T
Miscellaneous Cash Receipt . . _ ; - t.,,. 1 :1-3)=r .tt 1:c 1
CITY OF MIAMI BEACH ;. },,t ; ,1 5 ,t-'IAA xr_Utt
f
No. - i i I
.,40 ...
e. 2 004 0 6
❑ Cash ❑Credit Card Check# �1
IC ,
Received of / LJ I!"� ^,1 ,
Address I E r -(-, 2 t f, v f L -5 I t
, For O(. Isg 12'47 1
r ) ) (1,111t441 ,( cto . ,,,A.k , c„N. 1
1
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director 1
By
," _ _ _ Account Number: O P -600 0 1
�- Dept: Ci .1 EXT:
Pre parer: o k (61.11 Dept. ?ill i 1