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Donald Papy June 2011 F QUARTERLY GIFT DISCLOSURE FO 9 (GIFTS OVER $100) LAST NAME — FIRST NAME — MIDDLE NAME NAME OF AGENCY: PAPY, DONALD M. CITY OF MIAMI BEACH MAILING ADDRESS OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE, 4TH FL CHIEF DEPUTY CITY ATTORNEY CITY ZIP COUNTY FOR QUARTER ENDING (Cherck One): YEAR, N AMT BEACH, FL 33139 DADS MARCH JUNE SEPTEMBER DECEMBER 20 '/ PART A — STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being filed You are required to describe the gift and state the monetary value of the gift, the name and adil,ryss p►fathe person making the gift, and the date(s) the gift was received If any of these facts, other than the gift description, are unknowir nc'appli ale, you should so state on the form. As explained more fully in the instructions on the reverse side of the form, you are not require di Arse gifts from relatives or certain other gifts You are not required to file this statement for any calendar quarter durirm, whin you • id not receive a reportable gift. t -- "0 rT' N -n DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF RSP _— RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING TH IFT� L!7 �► PLEASE SEE ATTACHED -r+ co? --ri .- CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PART C — OATH I, the person whose name appears at the beginning of this form, STATE OF FLORIDA do depose on oath or affirmation and say that the information COUNTY OF MT AMT —DBE disclosed herein and on any attachments made by me consti Sworn to (or (firmed) and subscribed before me this g day of L , 20 / l tutes a true, accurate, and total listing of all gifts required to be by DONAflJ M . PAPY reported by Section 112.3148, Florida Statutes (S . M„t :�, ��,hi�� ctat .r f F rt \ x,14. YAMILEX MORALES - � 1 4 Commission # DD 870863 • - 1 - Y� = Expires March 16, 2013 SIGNATURE OF REPORTING A CI L • '', `"' • '` •. ... _ • - - . // (Print, Type, or Stamp iv, • " - Personally nown �/ Y OR Produced Identification Type of Identification Produced PART D — FILING INSTRUCTIONS This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317 -5709 The form must be filed no later than the last day of the calendar quarter that follows the calendar quarter for which this form is filed. (For example, if a gift is received in March, It should be disclosed by June 30.) CE FORM 9 - EFF. 1/2001 (See reverse side for instructions) `'' A , 1 Over a $100 Date Description Monetary Name of person Address of person Rec. of gift Value making the gift making the gift City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 09/24/11 Chris Tucker $131.00 " LC 10/02/11 Camila $197.00 " LG 10/15/11 Giselle $146.00 10/22/11 Program I (Arsht Center)$170.00 44 44