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Justine Velez - Denise Vohra, LLC • City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report for period of:1/1/2016 through 12/31/2016 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. a 1 FEB - n 1-411 Ip. This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive, , • ',•-• Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due date.If you require any assistance,please contact this office at 305.673.7411 or at cityclerk @miamibeachfl.gov. Lobbyist Justine Velez • Principal Denise Vohra, LLC Issue Development approvals and permitting issues concerning property located at 2125 Lake Avenue PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 4150 /I if- CATEGORIES OF EXPENDITURES Food and :-verage: Entertainment: Research: Communications: `[ Media Advertising: l u K - Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disci.sed herein and any attachment hereto are true and correct. ,, nn �// �W V �14,d Lobbyist Signa ure SIGNATURE AND STAMP OF NOTARY: /Produced ID ft L •'':�•��'•• JASON SALVATORE Form of Identification +Q••• "fit,:• Sig ure of Public Notary—State of Florida MY COMMISSION#GG 030527 :�' , S or r)to and subscribed before me _�,;o= EXPIRES:September 14,2020 � _Personally known *.;:"•;;°•�'Bonded Thru Notary Public Underwriters This day of 20j •