Waste Mgmt Inc of Florida
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City of Miami Beach Office ri the City Clerk
1700 Conventlm Center Drive, Miami Beach, FL 33139
Emall: c~lerk@cl.miaml-beach.fl.us
LOIBYIIT Ib!!GISlMnOll FORM
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(City of Miami Beach, City Code O1aj:ter 2, Dlllislm 3, Sectk:n ~1)
L Check". ... ...........
N.A/IIE OF LCBBYIST:
CITRIN
(Last)
Charles
(Frst)
Miami Beach
(City)
A.
(M.!)
FL
(state )
2/12t02
DATE QJALIFIED PS LCBBYIST
33140-3413
(Zip Code)
chascitrin@aol.can
EMAIL:
757 41st street
BUSII\ESS I'ODRESS: (NJrrber end Street)
305/674-0447
1ELEPt-O\IE I\I...MBER:
305/674-4843
F.~ N...MBER:
I. LOB8VISTRETAII\ED BY:
WASl'E MANA~ TNr' OF FTl"lRTnll
N.A/IIE OF PRII\K:IPI'LjQ..IENT:
9350 NW 89th Avenue Medley
BUSI!\ESS PODRESS: (N.Jrrber end Street) (city)
305/883-7670 305/883-0509
1ELEPHCl\E !\lJv1BER: FAX I\U>BER: (Q:Jtlcnal)
FL
(State)
33178
(Zip Code)
EMAIL: (Q:Jtlonal)
Fill Out this secUon If prIncIpaJ Is a CaporaUon, Pl>I b.et ship or Trust [SecUon 2:-482 (e)]
? N.A/IIE OF G-iIEF CfFICffi, PI'RThER, OR BEI\EFICII'RY: JoseIfl A. Ruiz, Jr., Division
Vice President
~<'t.r,..
? LIST A.L PERSCl\I5 I'O-Dlf\G, DIREClL Y ffi II\[)IREClL Y, A 5% ffi fv1CRE ONf\ERSHIP INTEREST IN SLO-i
CffiPCAATIQ\J, PI'R'11\ER9-iIP ffi mUST: None
IL SPECIFIC LOWV ISSLE: The relationship between the City and the Principal.
Issue to be lotbled (Describe In dltall):
In. CIlY AG3'\ICIES/lND1VIDlIN..S TO BE LllB8JB):
A) fuR Name of IndIvIWaI/TIlIe B) Relill:louhlp
All City Ccxrmissioners, Mayor and staff, as None
necessary
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IV. DISCLOSLR: OF lmMS N>n AMlll.NTS OF LOOBVIST CONJENSATION (DISa..OSE WI-ETKR HOURI. Y,
Fl.ATRA7E OR O>>ER):
A) LOBBYIST DISCLCSLRE: $1 ,500 ITOnthly retainer fee
B) PRII\CIPI'l.:S D150..09..RE (CF LCBBYIST CQVP8\6ATICl\I):
V. SIGNAllH IN)ER OAlH:
ON OCTOBER 1SJ OF EM:H YEAR, EM:H LOIIBYJST SHALLSUIMII' 10 n1E CITY a.ERK A SIGNED
STATEMENT UNDEROAnI, USTING LOBBYING EXPENDIlUU!S IN n1E CITY OF MIAMI BEM:H FOR
n1E PRECEDING CALDllDAR YEAR.
I do solemnly swear that all of the fbregoing facts are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of thfLlMiami Sea City Code as amended, and all
reporting requirements. ILt1 ~.P .
Signature of Lobbyist: ___!\J UJ<f~
L -.J\C)~
Signature of PrinCipal/Client:
VI. LOOBVIST IDENTIFICATION:
g Produced ID
MU:
Form of Identification
~rsonallY Known
VIT. SIGNAllH fIN) STN-P OF NOTARY OR DERJlY a..mK:
lORa.ERJ('lUE ONLY
Registration: [] ACCEPTED [] REJECTED DATE:
If rejected, staIIl reZlSOl'l:
RegIstrZltlon fee pZIld: [ ] Yes [ ] No
[ ] Cash [ ] Check
DATA ENTRY DATE: ..., II f
1 I
MCR#
,2002
I First Revision - 05{17/O2
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