Jasco Construction Co., Inc.
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City of Miami Beach Offlce of lt1e City C1e1<
1700 Convention Center Dnve, Miami Beacl1, R 33139
Email: cityde1<@d.miami-beach.fl.us
LOBBYIST REGJSTRAnON FORM
(City of Miami Beach, City Code Olaptlel" 2, Division 3, Sed:ion 2--481)
.e: ChKk Box If.n Amendment
L€o/l/
NAME OF LOBBYIST: (Last) (FiI'51:)
'N4 AV"/#ee 1/ ,4v& '01-'164> Mil; A.-
BUSINESS ADDRESS: (Number and Street) (City) (state)
305- 4/.J- / Ljtj() 305- 47(,-/71(,
TElB'HONE NUMBER: FAX NUMBER:
..:IVAN
IV
(M.l) DATE QUAUF!ED f.S LOBBYIST
3:J1.3/
(Zip Code)
.:::z:v,IM t:D €-vI,} z..CU . CO ....,
EMAlL:
I. LOBBYJ:ST RETAINED BY:
:5A-SCD &,4;.vc-~o^, aUf-/,~Y,l.:::z:;C. ,
NAME OF PRINCIPALjCUENT:
/'2>3/7 sw. /...l,/ sr
BUSINESS ADDRESS: (Number and StTeet)
305- 2. -3(/ - ~ ~l/ 9'
TElB'HONE NUMBER: FAX NUMBER; (OpIlonal)
fttf1-
(City)
Pi-
(state)
33/~'
(Zip Code)
EMAlL: (Optional)
Fl. oat tlllllIedIoa If ~ II . CGrponIIiaIII. hrtMrIIIlp or TnIIt [Sedioe 2-482 (e)]
? NAME OF CHIEf OFFIC6l., PAR1NER. OR BENEFICIARY:
e:s1-e:-~/ktI SU~'L-
UST AU.. PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE ONNERSHIP II'lTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
/l-t-r~BPO 644 zu-e/q. 6~~ .5Z~c.~
,
n. SPECIFIC LOBlJY ISSUE:
Issue to be lobbied (Describe in dd:ail):
m. CITY AGENCIES/lNDlVIDUAUl TO BE LOBIlI!D:
A) FuI NII_ ellJIdlvIdaIIl{l1IIe
B) ~....
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'lV. D1llC C*lRE OF 11:RMS AHD AMOUNTS OF LOII8YIST COM'ENSAnON (DISCI OSE WHETHER HOURL Y,
FiAT RA TE OR OTHER):
A) LOBBYIST DISCLOSURE:
$' /.50, ~O~
---.- .~._-----../k
6) PRlNCIPAL'S DISCLOSURE (OF L066Y1ST Cct-1PENSATIOO):$'.1 ~.~/If ~
V. SlGNAnmUNDEROAnt:
ON OCTOBER Iff 01' !ACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLIO A SIGNED
STATEMENT UNDER OATH, LISTlNG LOBBYING I!XPENDITURES IN THE CITY Of MIAMllSEACH fOR
THE PRECEDING CALENDAR YEAR.
nd that I have read or am
ch City Code as amended, and all
Signature of Lobbyist:
~
Signature of Principal/Client:
VL LOII8Y1STIDfJlIT1f1CAnON: CD .+4PtN NerDo Le.o,J - PDL# L'5oo -Lfl~~ b?1~o1~-o
<i)tLst-e..I..'j,J Lor~f'rz.o ~(a_-
., Produced 10 fDL. tt:: S (., UJ 2.( 'Z. 5 2. z.:g 2 - 0
Fonn of Identification
., Personally Known
VII. SlGNAlUlI AHD STAM" OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This '2,o~ day Df~, 2002.
~10~p~~
l,'/1 ,qr:J 'fJea u&WYlp
Print, stamp or type name of Notary Public
OAL NOfARY SEAl..
IJLUAN BEAUCHAMP
NOI'ARY PUBUCsrATE OF FLORIDA
COMMISSION NO. DD109289
MY COMMISSION EXP. APIt 29
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FOR ClI!RJ('S USE ONLY
7 /::30 I 02-
I I
Registration:
~EPTED
[ ] REJECTED DATE:
DATA ENTRY DATE:
1
2002
I Rm Revision - 05/17/02
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