Gary & Viola Violet 06/24/02
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City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, F.L 33139
Email: dtyclerk@d.miami-beach.fl.u5 .
LOBBYIST REGISTRATION FORM
(aty of Miami Beach, aty Code Chapter 2, Division 3, Section 2-481)
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<(Fi1A1a_t ~TEQUrZ33/3f
(City) (State) (Zip Code)
3oS--S 3 2-0500 305-- 5'3>/".0(541 ~ro6~ek~'''f!.1
TELEPHONE NUMBER: FAX NUMBER: EMAlL:
I. LOBBYIST RETAINED BY:
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NAME OF PRlNCIPAl/CUENT:
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BUSINESS ADDRESS: (Number and Street)
lo5-6 72---/ f:6/ '2
TELEPHONE NUMBER:
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(State) (Zip Code)
FAX NUMBER: (Optional)
EMAlL: (Optional)
Fill out this section if prindpal is a Corporation, Partnership or Trust [SectIon 2-482 (e)]
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NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
.
UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II.
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A) Full Name of Individual/Title
B) Relationship
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City of Miami Beach Office of the aty Oerl<
1700 Convention Center Drive, Miami Beach, F.l33139
Email: dtyclerl<@ci.miami-beach.f1.us .
LOBBYIST REGISTRATION FORM
(aty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
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{{Fi1A1a~' ~TEQUrZAS33/3f
(City) (State) (Zip Code)
305--53 Z-05dO 3C;5--53/---0t&4J /C.."'roi~ek~'''(.l
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY: 4. t
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NAME OF PRINClPAl/CUENT: 1--' .
1&.1 (0 .').,( ~fr~e f
BUSINESS ADDRESS: (Number and Street)
30$-6 71- -I C6/ '2
TELEPHONE NUMBER:
AIt fB Fl- ~3/~r
(aty) (State)
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
fill out this section If principal Is a Corporation, Partnership or Trust [SectIon 2-482 (e)]
.
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
.
UST All PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: .
II.
/
0/ 1; lie-
A} Full Name of IndlvIdual/Tltle
B} Relationship
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