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Santiago D. Echemendia - Shutts & Bowen LLP tolmAIBE . cH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 2015S1 30 PM 2: 20 www.miamibeachfl.gov City Clerk's Office CITY . _. l i'`J OFFICE Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only 2015 ANNUAL LOBBYIST REGISTRATION FORM Name: Santiago D. Echemendia Business Name: Shutts & Bowen LLP Address: 201 South Biscayne Boulevard, 15th Floor, Miami, Florida 33131 Office Telephone Number: (305) 358-6300 or Direct Dial: (305) 347-7321 Cellular Telephone Number: (305) 342-1783 Email Address: sechemendia0_shutts.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#: "l DS OCA 0V / ,offs Amount paid: 5 O t Date paid: Processed by: Date: Al t l lc F:\CLER\$ALL\aFORMS\LOBE ST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx Miscellaneous Cash Receipt e d T ~ CITY OF MIAMI BEACH F coi till No. �s. ` QU. L. 0 0 Cash 0 Credit Card Check# 6 Li 6 - �� c..„-- Received of _ 3 le oc_ /Ji y f /.6#V ) :v-s ' f& Address L 1 . !f)e :az�r'� j'i V rt' 4 I 66�0 I � , f ; L f J i For .i I i--,s.,.r‘i t , 0 __ ( `..-2.3'''' A-C. ..„ ,, 7 2 (THIS INFORMATION MUST BE COMPLETED) Office'of Finance Director' 1 (17) Account Number \J. ` . ; ) V. Preparers : 1 }t Dept: \It I. ( 1 i = c7 C7 — * � CCDD o, -Ti n • • f� W CD (13 '—'_...1 3 Q� n �C T 7-3 73 CD r...'-', r'+ c" 0 i---,��-- CSi CD.< CD . O 0 CD O� �- O 0 _ (-D ill , <C O V• V' O CO CD CD �7 N N r-1- c O D H L� T ,, (1 \ • :- O O 0 3 p 73 -10 O O 0 �' O - 73 N CO O O O n CO W CD --s