Registration Affidavit 07/18/00
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Cl'fY 01' MIAMI BDCB
OI'I'ICI 01' ,., CITY CLERK
LOBBYIST RBGISTRATIO.
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00 J!Y 18 PII 2: 38
i"ITY
1,,((',; OFFICE
LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS ANY AGENT,
OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WITHDRAWS
AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF
WITHDRAWAL."
(1)
Lobbyist NAlIe o/OoJIt;t.1I/ R"h f- ,
LAST lWlE. FI~ MI.
Business phone (~ (:, 7 :s-- 7
Business Address ~C7 / LIt ~ rf- $ f IY15
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Zip F)
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33/vv
(2)
Principal Retained By:
~J.AUl. J-
~Jl#1alv ,
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7N<:./
Prine1pal's Address ~ .s::.... C4-i." e-
(I' DI'fERls' fROM AIOYEI
Zip
a. If a corporation, partnership, or trust, identify and provide the
address for the chief officer, partner, benefieiary, or interests.
4Zc.~~' ~ I ~-, u .(l4-t t~A/ . pr~.~ ~
r 7AA~~ 0(. C; C"u1b~
(3) Subject Matter (Describe in detaill)
.,.
(4) Identify each individual (Commissioner., Board, Committee, Authority
member, or City staff) to be lobbied.
(5) The subject matter in number (3) above is to be eonsidered at the
meeting of: (Identify each entity or individual)
e The City Commission
e City Commission Subcommittee
e City Staff
e City Board or Committee
e Personnel
e Identify Other.
, 19_
19
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19_
19_
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on
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(6) State the extent of any buslness, flnancial, f..lllal, professlonal or
other relatlonship whlch exlsts wlth any Indlvldual Identlfled In nusber
(4) above.
Nerz.-"-~
ON JULY 1 OF EACH YEAR. EACH LOBBYIST SHALL SUSKIT TO THE CITY CLERK, A
SICNED STATEMENT UNDER OATH, LISTING ALL LOBBYING EXPENDITURES IN THE
CITY OF MIAMI BEACH FOR THE PRECEOIIlG CALENDAR YEAR.
I do solean1y swear that all of the foregoing facts ara true and correct
and that 1 have read or .. f..lliar wlth t provisions contained In
Section 2-48 of the Mi~l e h Clty Cod s amended, and all reporting
requirement.. ~
Signature of Lobbyist:
o Personally known
)(produced 10 r:LfJ
'})It-l Vc::A.5 1-1 C. EA-' J ~ (G; 355 '717 3130{)
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o Old take an oath, or
o Did not take an oath
State of Florida, County of Dade
Sworn JiI!, and sUb~efore .e
this IJ2 day Of~I?OO
~L~ J~---
Motery or Deputy Clerk
If i Not.ry: Print, St~, or Type .. C~II,loned
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FOR CLERK'S USE ONLY
Reglstratlon: f ACCEPTED 0 REJECTED
If rejected, state reason:
DATE 7/IB/uO
Reglstratlon fee pald: X Yes
DATA ENTRY DATE
o Not For Profit Organlzatlon
o Documentary Proof Attached
o Cash :;( Check HCR No.
, 19 ENTERED BY
o No