Murano Three, Ltd.
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City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityderk@d.miami-tleach.f1.us.
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LOBBYIST REGIS1IRA'FION' FORM ","
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(aty of Miami Beach, aty Code Chapter 2, Division 3, Section 2-481)
i:l Check Box if an Amendment
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(First)
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BUSINESS ADDRESS: (Number and Street) (aty)
305. '2.~,. ?A~ 1
FAX NUMBER:
'ao6 2~" '2.,,!/O~
TELEPHONE NUMBER:
J.
(M.I)
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(State) (Zip Code)
J~G~ -S~~c:.V"'-SU':a.V'e.'Z."
4t'lAIL'
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NAME OF LOBBYIST:
I. LOBBYIST RETAINED BY:
M \J V".ih'\ 0 ~.;~~
NAME OF PRINOPALjCUENT:
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106 ~~~\D
TELEPHONE NUMBER:
M~'2~~ k'a~
(aty)
~6 ~o4 ex:, \.4-
FAX NUMBER: (Optional)
r\""
(State)
:a~\'a~
(Zip Code)
BUSINESS ADDRESS:
1'2.16 A\+o~ &:;\.
(Number and Street)
EMAIL: (Optional)
Fill out this sectlon if prindpalls a Corporation, Partnership or Trust [Sectlon 2-482 (c)]
. NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY:
. UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
n. SPECIFIC LOBIIY ISSUE:
~t,""~.~n ~;,''-. ~';-.
Plo-'c::.6t'" '" -\- ~ t' 1\'",'
~ue to Qe lobbied (~be,in,lletail). :.,
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t:Q.. C~+~ c.;I~ M,-aW\~ e<.-..e.,^ Dc:.5i~",
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III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:' ,.
A) Full Name of Indlvidual{TItle
B) Relationship
Dc.!.i~"" t<c,,~<:.f.A.) eoa\r~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RATE OR OTHER):
A) LOBBYIST DISCLOSURE: U, \f\ -\- ~ -ac.-+
!"q.~.CJOO. 00
B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
~130. aDO <
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v. SIGNAT'\lREUNDEROATH;... ,.' " ." ,<'
ON ocTo15ER i~:OF EACH YEAR, ~CH [6B~~sTf~~A~l.;SUBMri to nte brrv~ Ci~R.K A ~~Nk~ '
STATEMENT UNDER OATH, LISTING LOBBYING EXPE"DITURES I,. THE CITY OF MIAMI BEACH FOR
!..TtlE~RECEDIN9;CAL,ENDAfUEAR. , .'" . '. ,',,; :~ ,;', .;:, >
1<10 50Iemnly 'Swear thatandr'tl1e foregoing facts are true and correct and that I have read or am
familiar with the provisions contained i . n 2-4 Miami ch City Code as amended, and all
reporting requirements.
VI.
LOBBYIST IDENnFI
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Signature of Lobbyist:
Signature of Principal/Client: .
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i:l Produced 10
Form of Identification
~rsonally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This J Y day of ~. 2002.
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FOR CLERK'S USE ONLY
Registration:
~PTED
[ ] REJECTED.
DATE:
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If rejected, state reason:
Registration fee paid: \Y-'t'eS J...-}No ")
l\.-}€aSh;:[ ] Check MCR#~ .
DATA ENTRY DATE: 0. / I tP ,2002 ~.". 'ENTERED BY:
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1 First Revision - 05/17/02
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