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Ana Cecilia Velasco - MCZ/Centrum Flamingo II, LLC 1212,04Iso% � DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1 RECEIVED A M F A _i Office of the City Clerk CITYC T 202p MI 1700 Convention Center DriveOF MI Miami Beach,FL 33139FEICE OF TH�IC(BEACH 305.673.7411 TY CLERK LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained,whether paid or not, by a principal who seeks to encourage thepassage, defeat or modification of any ordinance, resolution action or decision of any commissioner; any action, decision, recommendation of the City Manager or any City board or committee;or any action,decision or recommendation of any City personnel during the time period of the entire decision-making process on such actlon, decision,or recommendation that foreseeably will be heard or reviewed by the City commission, or a City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities.The term"Lobbyists"has specific exclusions. Please refer to City Code Chapter 2,Article VII,Division 3,entitled"Lobbyists,' for additional information. Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee,to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s)of paper. If you have nothing to report in a particular section, you must write "none" or "n/a'. in that section. Any change :to any information originally"filed, or any additional City Commissioner or personnel.who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Velasco Ana Cecilia NAME OF LOBBYIST (Last) (First) , Z((Middle Name) `S Strategic Allies,LLC 9111 East Bay Harbor Drive Bay Harbor Florida 33154 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)521-4394. velasco@strategicalliesllc.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER - EMAIL ADDRESS II. PRINCIPAL INFORMATION: Hodges Lee NAME OF PRINCIPAL (Last) (First) (Middle Name) MCZ/Centrum Flamingo II,LLC &MCZ/Centrum Flamingo III,LLC 4582 S.Ulster Street,Suite 1100 Denver, Colorado 80237 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954) 998-8564 Lee.Hodges@aimco.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS RursuaiiadeityaCodErSec ioi 22 82(h) p(414-7 nncipalAtaiy corporation partnership or other®ntity who app34FsV4lobbyist'76-i3Vf 94Tt at entity,wdt outrspeci compeati ito'r relrnbursement four,the"appearance;whetherdIrect indiraccttt orcon geennt;,to expresscsupporttofboroppo'siition°to an item,sha regtsterwlth they`Glerktasirequired lbylthig Subsection buut'shall o�b�a required to payrany egistrationifeesX If the principal is a Corporation, Partnership or Trust, the following information MUST be provided &In —)Code Section 2 82(c): LL • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): See Attached. • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): See Attached. 0 Page 1 of 5 DocVerify ID:48AED428-0634-4873-9D86.4741391 FFAAD Page o14741391FFAAD 1 ,IIIMINN"III www.docverify.com 1f 8 DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1 III. ISSUE TO BE LOBBIED: Describe with as much detail anis practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. Code Amendment and Associated Issues,Development Board Approvals and Permitting Issues for Redevelopment for the Property Located at 1420&1508 Bay Road in Miami Beach,Florida. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of IndIvIdu'al and Contractual Relationship(If yes,explain) YES NO Title of Person to be LJobbled Staff for the Planning&Building Department None X Public Works&City Administration,PB,HPB,BOA None X DRB,City Commission,City Commission Committees,.and Mayor as necessary None X Pursuant to City Code Section 2-482(g), every registrant shall be required to state the extent of any business, financial, familial ori professional relationship, or other relationship giving rise to an appearance of an impropriety, with any current City Commissioner or City personnel who is sought to be lobbied as identified on the libbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety(if none,;write NIA): None LL V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to ity Code Sec. 2-485.3): 0 L � Page 2 of 5 DocVerify ID:48AED428-D634.4873.9D66-4741391 FFAAD Page 2 of 8 � 24741391FFAAD I ,III TA 'I II I www.docvedfy.com • DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section.2 88,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _Yes x No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods,equipment or service? 2) Pursuant to City Code Section 2-490,entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes xNo: Are you lobbying ora pending application for a Development Agreement with the City or application for change oflzoning map designation or change to the City's Future Land Use Map? 3) Pursuant to City Code Section 2.482(h), any person (except those exempt-from the definition of"lobbyist" as set forth in Section 2-481)who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance,whether director indirect to express support of or opposition to any item,shall register with the city clerk as required by this section,but shall not be required to pay any registration fees. _Yes x No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the.term "lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent,to expresslsupport of or opposition to any item;and any person who only appears as a representative of not-for-profit community basedi organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. _Yes XNo: Are you providing only scientific, technical or other specialized information; appearing as a representative of a neighborhood association without special compensation or reimbursement or representing 'a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2I.491(1), no campaign consultant shall lobby the City Commission for a period of 12 months following the swearing in of any elected official(s)for whom the campaign consultant provided campaign consulting services within the past election cycle.See Section 2-491 for more information. _Yes xNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes_No' If.yet,..has it r3eem less than 12 months since the elected officials)•whom you prow ded:campai ri con§tilting s®rvices was sworn 6) Pursuant to City Code Section 2-41 82(a)(4)a.,a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission(which lobbying activity is not otherwise prohibited by Code section 2-491) shall disclose such particular service.on his/her lobbyist registration form and shall orally disclose such particular 6 service before lobbying the City Commission at a public meeting. _Yes xNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: Yes No: ILyes,were�You•_promised or did you receive economic consideration in exchange for cam d • _ _ campaign LL iconsultng'seniices? . TO BE COMPLETEDDBY.CITY CLERK'S STAFF ONLY Annual Registration fee: [ Yes[ ]No Amount Paid S , MCR# 1 2-70t Date Paid l CA/g0 Registration Fo received -v0and verified by: i �f it F:,\GIEk\SAgl\ii.FoPMs\LOBBYIST For i8\i,nlilayit t Rc ised,00-20-1S.REG•.r: c' - Revised 09/20/2018 9 Page 3 of 5 DocVerify ID:48AED428-D634-4673-9DB6-4741391 FFAAD Page 3 of 8 34741391 FFAAD I ,III I ,I II I www.docverify.com _ DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED,.FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY.A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS ION DURING THE REPORTING PERIOD.1 Signature of Lobbyist: (,... .44, )/ Date 99, -Z I do solemnly swear or affirm that all of the foregoing facts,statements, and disclosures in this form are true and correct, - and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a d all r=•orti • requirements. OF. Signature,of Lobbyist: 0, Date f.,,,..1 ' -o Signature of Principal: Date 'Lee Hodges,VP,Aimco Holdings QRS,Inc.,the General Partner of Aimco Holdings,LP,the General Partner of Morton Towers Apartments, VII. NOTARY SIGNATURE AND SEAL: LP,the Member of MCZ/Centrum Flamingo,II,LLC,and MCZ/Centrum Flamingo III,LLC LOBBYIST: PRINCIPAL • State of Florida State of Florida . County of: Miami-Dade County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of®physical presence by means of 0 physicalpresence or.0 online notarization, . or 0 online notarization, this 21 day of September ,2020, by this_day of September ,2020,by Ana Cecilia Velasco Lee Hodges of AIMCO Holdings QRS,Inc.* NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION - FORM OF IDENTIFICATION `Persona Known _Personally Known A' Signatu of Notary Public Signature of Notary Public Name of Notary,Typ dntadlor_Starriped, __ Name of Notary;Typed,Printed or Stamped i i ►0 04, I JUNE HENDERSON (NOTARY SEAL) i M Notary Public•State of Florida (NOTARY SEAL) 0 (j . Commission N HH 010777 a ` ...o.n;..• Aly Comm.Expires Oct 7,2024, LL Bonded through National Notary Assn. 1 The term"lobbyist""speciffca ly exclu es the o i g e . i Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether 6 direct,indirector contingent,to express support of or opposition to any item;and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for 9 the appearance. Page 4 of 5 L., 01 DocVerify ID:46AED428-D634.4873-9DB6.4741391 FFAAD Page 4 of 844741391 FFAAD I ,III �gy bs+i.`t, "II I www.docverify.cam 1 • DocuSign Envelope ID:96788308-D200-4D51-B4C9 B9656D9566B1 VI. SIGNATURES UNDER OATH: ON FEBRUARY.28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDINGI CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.1 Signature of Lobbyist: Date I do solemnly swear or affirm that allof the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: by i Date • Signature of Principal: �Aocusigned( Date 9/22/2020 g p r14Fr gCAFRF7944g *Lee Hodges,VP,Aimco Holdings QRS,Inc.,the General Partner of • Aimco Holdings,LP,the General Partner of Morton Towers Apartments, VII. NOTARY SIGNATURE AND SEAL: LP,the Member of MCZ/Centrum Flamingo,II,LLC,and MCZ/Centrum Flamingo III,LLC LOBBYIST: PRINCIPAL State of State of Florida County of: County of: Miami-Dade Sworn to (or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or 0 online notarization, or NI online notarization, this day of ,20_, by this 22 day of September , 2020 by Lee Hodges of AIMCO Holdings QRS, Inc.* • NAME OF LOBBYIST NAME OF.PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known x Person w , � � Signature of Notary Public Signature of Notary Public N Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped (NOTARY SEAL) / Diana Ramos. LL / Commission#GG 308355 LL 1 Notary Public-State of Florida My Commission Expires Apr 10,2023 1 The term"lobbyist"specifically excludes the following persons: 1 a ro Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement.for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 L .DocVerify ID:y48AED428-D634-4873-9DB8.4741391 FFAAD Page 5 of 8 54741391 FFAAD I ,III III www.docverify.com DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1. MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Ana Cecilia Velasco 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code_ Section 2-485(d), the City.Clerk shall notify any lobbyist (or principal)who fails o file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be-assessed for Statements filed after the due date.The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) tofile the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been • appealed to the Miami-Dade County Commission on Ethics and Public Trust. I herebyacknowledgethat on February 28 of each year, I shall submit to the City Clerk a signed Statement.under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have beenengaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I h4fe registered to lobby has concluded or I amno longer lobbying on that issue, I shall immediatelyfile a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE • I understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pursuant for Section 2-482 of the Miami Beach City Code. • Signature of'Lobbyist • ' Date m in F:ICLERI$ALL1aFORMSILOBBYIST FORMSILobbyist Registration Form Revised 03-11-20 REG.doc 0 Page 5 of 5 DocVerify ID:48AED428-D634.4873.9DB6.4741391 FFAAD ,III 'I III Page 6 of 8 I 64741391 FFAAD www.dooverify.com • DocuSign Envelope ID:96788308-D200-4D51-B4C9-139656D9566B1 • • Apartment Investment and Management Company (a publically traded Maryland corporation NYSE:AIV) EXHIBIT B • (EIN 84-1259577) A Non Aimco Owners[comprised of 100%t 2,689 limited partners,none of Aimco Holdings QRS,Inc. 100% 100% whom have an interest greater than (a Delaware corporation) Aimco-GP,Inc. A)mco-LP Trust• 0.43%and none have any ``(EIN 84-1324766) r (a Delaware corporation) (a Delaware trust) management control over the A (EIN 84-1299715) (EIN 84-1299717) { partnership] A -- I 1.03%GP 94.4%LP 14.57%LP Aimco Properties,L.P. , (a Delaware limited partnership)(EIN 84-1275621) A A A A .1100% A 199%LP 199%LP Aimco LA QRS, . I Aimco GP I AIC REIT Aimco LP i Inc(a Delaware LA,L.P. Properties LA,LP corporation) 1%GP (a Delaware t LLC (a Delaware 3019653) limited (a Delaware limited partnership) ( limited liability partnership) i 1%GP A 100% (EIN 75- company)(EIN (EIN 75- r — —- 3019672) 95-4718975) ; 3019665) IAimco Subsidiary REIT I,LLC (a Delaware limited liability company)(EIN 81-4657073) 11%GP 84.8%LP 2.93%LP 11.27%LP LAC Properties Operating Partnership,L.P. f (a Delaware limited partnership)(EIN 95-4716685) Series-A __ 98%LP 2%GP Shhldr 0% 97.8667% i Aimco Holdings,L.P. rAimco/Bethesda Holdings,Inc. (a Delaware limited partnership) (a Delaware corporation)'(EIN 74.2967629) 2.1333% (EIN 84-1325999) 6.5611%LP 92.1374%LP .3015%GP 1%LP l Morton Towers Apartments,L.P. Flamingo South Beach- i (a Delaware limited partnership)(EIN 84-1433026) North Tower-042913 1508 Bay Road a Miami Beach,FL 33139 _ _ _. _ -_ 100%, ,6 MCZ/CENTRUM FLAMINGO II,L.L.C. (a Delaware limited liability company)(EIN 20-4380477) June 2017 N c Q Q LL V m 0 cnco cov o oSN R o W Q co o. DocVerify ID:48AED428-D634-4873-9DB6-4741391 FFAAD Page 7 of 8 74741391 FFAAD I ,III @_Rbs3ca ,l III www.docvedfy.com �W+T DocuSign Envelope ID:96788308-D200-4D51-B4C9-B9656D9566B1 • • EXHIBIT Apartment Investment and Management Company B (a publically traded Maryland corporation NYSE:AIV) i (EIN 84-1259577) A • Non Aimco Owners(comprised of 100% • 2,689 limited partners,none of Aimco Holdings QRS,Inc. 100% 100' whom have an interest greater than (a Delaware corporation) Aimco-GP,Inc. Aimco-LP Trust_ 0.43%and none have any (EIN 84 1324766) (a Delaware corporation) (alDelaware trust) management control over the .A (EIN 84-1299715) (EIN 84-1299717) partnership] - 1.03%GP ° t 4.57%1P- Aimco Properties,L.P. — (a Delaware limited partnership)(EIN 84-1275621) • A A A 100% 99%LP -- 100°6 99%LP Aimco LA QRS, i Aimco GP AIC REIT Aimco LP I Inc(a Delaware LA,L.P. Properties LA,LP I corporation) %GP (a Delaware LLC i (a Deaware 1 (EIN 75- limited I (a Delaware limited �__301 53) • i partnership) limited liability I partnership) 1%GP „ 100% .(EIN 75- company)(EIN (EIN 75- -- E 3019672) 95-4718975) 13019665) i Armco Subsidiary REIT I;LLC - (a Delaware limited liability company)(EIN 81-4657073) 11%GP 84.8%LP 12.93%1P 11.27%LP LAC Properties Operating Partnership,L.P. (a Delaware limited partnership)(EIN 95-4716685) Series-A I 98%LP 2%GP ___ Shhldr 0% 97.8667% Aimco Holdings,L P. Aimco/Bethesda Holdings,Inc. I (a Delaware limited partnership) • (a Delaware corporation)(EIN 74-2967629) 2.1333% (EIN 84.1325999) 16.5611%LP 92.1374%LP - .3015%GP 1%LP 1 Flamingo South Beach- Morton Towers Apartments,L.P. CenterTower-042914 (a Delaware limited partnership)(EIN 84-1433026) • Common Area-042915 CO -1504 Bay Road,Suite 2 Miami Beach,FL 33139 100% _ -_ MCZ/CENTRUM FLAMINGO III,L.L.C. (a Delaware limited liability company)(EIN 20.4241267) o - - '----- ---- ---.. - .. - -------- .. June 2017 N c. ,, •0 Q Q LL . ._ rn ,, CO O co v 4 M • m 0 N a 0 w co DocVerify ID:48AED428.0634-4873-9086-4741391FFAA0 - i Page 8 of 8 i 84741391FFAAD i ,IIIW ,I III I www.docverify.com • ,„.. doolerifye 4: = 8 o ; .CVER, Lobbyist Registration Form C. Velasco - executed.pdf DocVerify ID •48AED428-D634-4873-9DB6-4741391 FFAAD • Created: September 22, 2020 13:42:40 -8:00 Pages: 8 Electronic Notary: Yes / State: FL • • • This document is a DocVerify VeriVaulted pr-)tected version of the document named above..lt was created by a notary or on the behalf of a notary,and it is also a DocVerify E-Sign document,which means this document was created for the purposes of Electronic Signatures and/or Electronic Notary.Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system. Go to www.docverifv.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document. • - • E-Signature Summary . E-Signature Notary:Diana Ramos(dra) September 22,2020 13:44:15-8:00[D922A2FBA070][38.86.132.251] • • d ramos@brzoninglaw.com• - r�� • • .11 r r f • r f f511 I 11111111111111111111111111111111111111111111111111111111111111• • (1111111 • • • DocVerify documents cannot be altered or tampered with in ary way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat. All visible electronic signatures contained in this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature as defined by various Acts and/or.Laws. I DocVerify www.doc en'i7rcomED428-D634.4873-9DB6-4741391FFAAD LGeneratedCover Page 4741391FFAAD I ,III Brey�, ,I III I city Hail 1700 Convention Center Dr. Miami Beach , FL 33139 305-673-7420 Welcome 004592-0058 Maria A. 10/06/2020 04:;14PM =: MISCELLANEOUS .. "3 - Ti,r P 4- �. t 'I 9 Description: mcr cashier (mcrcas) °. Reference 1: 427018 ' � ; mcr cashier (mcrcas) , �.,� '" :92'"-;,• +to IC �r 2021 Item: mcrcas :;e . ` . v n � 1 .00 @ 850.00 �� n i 1 j mcr cashier (mcrcas) 850.00 -�'�' - i) ,. 6. a fsi 6, -----, a; 0 „; n .i —p% ; F . -i- _._ . ,850.00 .: o a lc „, Subtotal 850.00 ,, m * ' Z0 :11 Total 850.00 _ CHECK 850,00 :sem r , ...,_ Check Number0697 �` — ` i Change due 0.00 -- f 1 Paid by: STRATEGIC ALLIES4 o, • . c:, , e, , , , : 101111 111 1111 11 1 11111 1lll111111 MITIIIIIIIIIIIIII . r,„,,,,,.. h"f'"x: '• •.sFF "• - .i . .„.„ .,....fi.ILO ����i� •,.` 1 i1 L111 LEAYlIklAfl 4N aRW �] • '1. L�,4./ p , (+ ItiY IMAIGII l71NWl,FL i,iP -- ~ 11 _–D�,(,�er,--eA_ 4•f- /, -64 •1 s” 44 .Z +p l:lty 1'liYtFtHla1 4 r.�l V F 8anwcvlraar iff. ��,/, \ it il _. d#1 N Thank you for your payment ",,-.. co meo c g` z MBF COPY [' DUPLICATE RECEIPT ,