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LOUVISI REGISI'ItA11OII FORM
(CIly fA MiIImI BeKb, a, OllIe 0IIpliw 2. llIvIIIDn 3, SedIap :MIl)
e Check IIax If.. Ant..a.llIt
~\'-~ta tor M.\L~~ ~
NAME OF LOIIIJYIST: (laIt) (FInt) (MJ) MTE QUAUfI!D AS LOIIIJYIST
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IlUSDESSADDRESS: and~ \ (ay) \'\,~ (ZIp )
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TELEPHONE NUMBER: FAX NlMIER: .
L ~j"._.:
_~&~ ~c-{~U\. 1 L.L,C-.
NAME OF .
=lo ~olUc......,J ~\ ~o <;... n.~~UUo\"'__ ~\"Q. ~CV'\.~~ <(~'3.~~\
BUSINESS ADDRESS: (NurIk 8Ild Sftet) (ay) \. CSt*) (2Ip)
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TEI.EPHOlE NUMBER:
FAX NlMIER: (0ptianIII)
EMAIL: (0ptianIII)
...MIt.............r 1M ....t..ri .11......._ 001 _1hIIt~Z-4U(c)J
? NAME OF 0lIEF0fFI(EI(. PNmet. ORIlENEFJCIMY: cr"'-,",> ta.... ~t"<A.~
? UST ALL PERSONS Hlll.DJNG. tBRECTlY OR DIlJIlECn. Y, A 5'Ill. OR MORE (JIjlJfERSliIP JN1Bll5l' IN sUcH
CXlRPORAnoN, PARTNEASHlP OR 11lIJST:
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IV. DISCLOSURE Of 'TERMS AND AMOUNTS Of L088YIST COMPENSAnON (DISC1OSI! WHE11tER HOIJRL Y,
FLA T RAn: OR 07HER):
A) LOBBYISTDISO.OSURE: , 'L,~ ~ MJQ"~- .~\...k ~~~ 0... ~ .
.. PRINClPAL'S DISC10SURE (OF LOBBYIST COMPENSATION):
Y. SIGNATURE UNDER OAtH:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYISr SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USrING LOBBYING EXPENDI1tJRES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that an of the fbregolng facts are true and correct and that I have read or am
familiar with the proviSions contained in SectIon 2-182 of theMiaml Beach CIty Code as amended, and aB
reporting requirements.
_"_ JY.\ ~l"\.
~ Signature of PrInCipal/Client: C ~~
YL LOBBYIST IDI:n urMAllON:
.s Produced ID
Form of Identification
~ Personally Known
YU. SIGNATURE AND STAMP Of NOrARY OR DEPUTY a.ERK:
State of Florida, County of Miami-Dade
Sworn to and sUbscri~re me
This ~ / ~ clay of 'Mf, 2002.
(/;/,;dl~
ure of Public ry - State of Florida
~ a\. UlI8tn R HetfIeId
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Print, stamp. . "~b1ic
FOR CURK'S USE ONLY
ReglstrcItlon: i,()1 ACCEPTED []
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[ ] Cash [ ] Check
REJECTED DATE:
f}iJ rI?~ I ( b /}1 cIUi j
Me # pn J V 3/d-~/
DATA Em'RY DATE:
1 .
.2002
ENTERED BY:
I First RevisIon - 05/17/02