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Joe's Stone Crab 2/8/02 ~ ~ CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK LOBBYIST REGISTRATION AFFIDAVIT LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS A1flY AGENT, OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WI~HDRAWS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." (1 ) Lobbyist Name de la Fuente, Bob LAST NAME FIRST NAME MI Business phone ( 305 ) 536-1112 (Tew Cardenas Rebak Kellogg. et al.) Business Address 201 S, Biscayne Blvd., Suite 2600. Miami FL 33131 (2) Principal Retained By: To~' s {"ro~ € CILM Principal's Address Zip (IF DIFFERENT FROM ABOVE) a. If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary, or interests. f)Jlh'rNOJJ C[ (3) Subject Matter (Describe in detail!) U t.I f r ~AIU:;"7 (4) Identify each individual (Commissioners, Board, Committee, Authority member, or City staff) to be lobbied. yJAI1Y1T:?1 ~...J ~ru~~ t1f~. "f't&l(l'V1 S'\, ;- U (5) The subject matter in number (3) above is to be considered at the meeting of: (Identify each entity or individual o The City Commission o City Commission Subcommittee o City Staff o City Board or Committee o Personnel o Identify Others , 19_ ,19_ ,l9_ ,19_ ,19_ ,19_ on on on on on on ~ ---- (6) State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above. f ON JULY 1 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK, A SIGNED STATEMENT UNDER OATH, LISTING ALL LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-48 ofthe Miami Beach City Code as amended, and all reporting re I[ me ts. Signature of Lobbyist: ~nally known o Produced ill , ) - (IDENTIFY) o )>id take an oath, or Ii Did not take an oath State of Florida, County of Miami-Dade Swom"tQ and subscribed lJ:ore me this ~lJ'- day of ft, ~ I If a Notary: Print, Stamp or Type as Commissioned ANA M JlMINIlZ NorARY P\JBUC Sl'ATI OF}lLOlUDA coMMJSSlON NO, CC8S9117 MY COMM1S5ION EXP. :.'28 ****************************************************************************** Registration: FOR CLERK'S USE ONLY o REJECTED DATE Ifrejected, state reason: / Registration fee paid: ~ es DATA ENTRY DATE D~ "Check ,1999 o Not For Profit Organization o Documentary Proof Attached MCR No. ENTERED BY 221998 ,,;