Michael Milberg/General RE
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City of MlamIIlead1 Oll\otof the City ClerIc
1700 ~ OmtIlrOnw, -Illlactl, FL JJ:39
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LOBBYIST ~IKATJON FORM
(Cltyol' MilImllll!acll, Cly Clldl!o..Rr 2. DMsIool3, !iecllDIIl-'l8l)
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(M.I) DATE QUAUl'lfD ASlOll8l'l5T
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Cillnoalon Cmtributions BY L.o!lIlvIsrs on Pmrurement lssues":
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PU''il",,,t tn Ordlnalll'1" lIlo. ,.DO:J.:DIM AnH!ndlna ttlillmi II.!.."". ~~~ 2. Artlde \Ill Dn.: 5
tbetelf EIIli~ "Camoaign Fk1ana! Refannw. Via 11le Addill(;; i:i~_ __ H9D Entitled "Proh_
CamOllian Ctlntribution~ Ilv ~ ~l Estate ~tll@ftt M;Uf!.';"'
AnI vou Ia.bbvIna an a Del'Idl4a atlDliaHna far. DevelaDnleltt AGreement with the City or
.y:'~ for ehallGe fA U1ninJ Ift1lIIt deslenatlon or chanGe 10 the CltY's Fut;;,;L.;'; Use MaD?
Y. SlG!MTUllE UIlDE" OATH:
CI'II 0C1'D8I!. In OF EAaf 'lfAR.1!AOt lO8IJVIS1' SHALL SUBMn'1O ntl ClTY CLERK. SIGNED
nAnMl!NT UNDER OATH, USlINC$ L08&YlNG E)(PENEmlIIt!S Il'Illtl! CITY OF MIAMI BEACH FOR
THt: ~ CAIBlDQ. Yl!!AR.. .
( dO SOIemnlV _r that all of the foregang fad.'l iIR! true and correct and that t have read or am
fltmilllr with the pr'OIIls/ons cont!lil'ltl!d in Sllction ',482 of the MiamI BeiJc:h City Code as amended, and all
repa!ting requirements.
Signature of Lobbyist;
Signature of PrincipeVOlellt:
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Cl Proc:toced ID
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Form of J<B1tIk:atlon
YD. SIGIilAJUflE AND IrAMPOf NOrIlRYOR DEPIITYCLEJII(;
Stale Of Florida, COunty of Mlam~Dade
Sworn to and subscribed before me
This ~ of . 2001.
Signa1Ure Of PUblic Notary - Stare of Florid;)
flrint,. slamp or type name d NOOJi'y PublIc
~ IPQR CURlC'S UR ONLY'
RfVsIratJllI'l: VAdEmD [ ) RE1B:TED DAre ?3
rrrelected,.stlllenlil~ ~ . ~~
_..~., '" [J" iJ"'" [J_ ~ n: ~ _
o,ll1t, EN'mr PATe' '1 'Z.S _ 200J EN~ Il'f; .
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