Carlos Vargas/PrudesaJun- 20--05 08: 34P
Gambach Architects
305 866 9191
Citf of Miami Beach~-l~qq~ ~ ~.he_~l .CIi~~
I700 ~,~nt~n C~r ~l~i~i ~, EL 33139
~~ r~t~~~r F ICE
end Street) (o~y) (State) (zb Co~e)
A) ~ N4m~ of bdmlduW/Tltle
I) Any Phlacill, Flmlldkll or P~l R~diKicmlhlp
Jun-20-05 08:34P Gambach Architect~ 305 866 9191 P.O3
The folk)wing informaUofl must be Wlswered:
1) Pursuant to Miami Beach City Code SecOon 2-488 EnUUed 'Prohibited Campaign C0nin~rdons By I_ol~ts
On Procurement Issues":
n Yes E/No: ~re _you lebb~na an a areserd; or _ .u~md/_ aa bid far _aoads. Eeui_ pment..or. ~ln~_~. or on -
__eremmt er mm~rme award for ~ emui.,ment or i~ndce?
2) Pursuant to Mlaml Beach Oty Code 2-490 EntiUed "Prohibited Campaign Contr~uti~ By Lobbyists On Real
Estate Development I~":
Are VouloM~i_ n~_ Op_.a eeedina a_eei_ kaUon ~r.~.~me~ R~t Wil~ _~e__ Ot~ or
__am, r~r, at~n for ch ..an~e_ ~ of ~onine map_ desi[ma_ .Oen or chance- te the .C~f_ s Future_!.m~l ~
I~,suan!, to Miami Beach Ob/ Code 2-484 (h) Any peson (except IJlose exempt from the deflnlUc,l o~
"lobl~ist' as set forth ~1 Section 2-481 above) who only appears as a represe~Uvc of a not-fo'-profit
corporation or ertUty wiUlout special compensaU~ or ~ for U~e appearance, whetter direct, or
section) bull shall not be requ~ed to pay any regb-traOon fees..
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ff rei~ .
V. Sl~GNAllJRE UNDER OATH:
ON OCTOBER 1~r OF EACH YEARr EACH LOBBYIST SHALL SUB141T TO THE ClrrY CLERK A SI~NED
STATEMENT UNDER OAITI, u~r[l~i~ LOIBBYII~ EXPENDITURJE~ AS WELL, AS COHI:I~NSAllON
RECEIVED, :IN THE CITY OF NLULM! BEACH FOR THE PRECEDING CALENDAR TEAR, A STATEMENT
SHALL BE FILED EVEN /J: THERE HAVE BEEN NO EXPENDITUP~ES OI~L'~i~PENI~i&TION DURING THE
REPORTXNG PERIOD, ~~~_~
I do solemnly swear that all of the foregoing facts are true and correct and that I have read Or am
familiar with the provisions contain~ ~ $_.eel;ion 2-~2 of the Miami Beach City Code and all reporting
11.4 __ I L___
~gnatureofPrincipal/Client: ..
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w. / LO~BYZb'T XDENTZFZCAT~ON, PRZNC:ZPAL/XD~WrZi~CATEON: ,
SIGNATURE AND Sl'AIdP OF NOTARY:
State of Florida, County of M~mkE~(~
Sworn to and subr=~rbed before me
NotarimUon of Lebbyi~s Ilgnature
suite of Florida, C~unty of M ,~m~
Revised 12/08/04