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Bar Brothers, Inc. 2/8/02 ., 'i CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK LOBBYIST REGISTRATION AFFIDAVIT LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS A1lY 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. (2) Principal Retained By: Biscayne Blvd.. Suite 2600. Miami FL ~M, ~(l.() 1" ~ I\S I -.9~('. 33131 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. (3) Subject Matter (Describe in detail!) f()f1tJa (t~ ~~ ~,_ONp ~ c.'r ~ffS/ (4) IdentifY each individual (Commissioners, Board, Committee, Authority member, or City staff) to be lobbied. Ptlfnfl~ ~1mtvlJIj &vl6w (y~ ~~ (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 on on on on on on .19_ ,19_ ,19_ ,19_ ,19_ ,19_ , or " (6) State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above. 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 ofthe foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-48 of the Miami Beach City Code as amended, and all reporting req . m nts. Signature of Lobbyist: ~SOnallY known o Produced ID (IDENTIFY) o Did take an oath, or ~ Did not take an oath State of Florida, County of Miami-Dade Swomp-and subscribed ~efore me this day of R~ I If a Notary: Print, Stamp or Type as Commissioned o CIAL ANA M JIMENEZ NO't'ARY PUBLIC Sf ATE OF FLORIDA cm4M~ION NO. CC8S9117 MY COMMISSION EXP. Y 28 ****************************************************************************** Registration: FOR CLERK'S USE ONLY o REJECTED DATE;l.-II-D~ Ifrejected, state reason: Registration fee paid: ~ o Not For Profit Organization o Documentary Proof Attached o Cash ~k MCRNo. DATA ENTRY DATE L- , 1- L>d-~ ENTEREDB o No 221998 c':i ;:;tl