Jamie Maslyn-Larson - Annual Lobbyist Registration Form MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida 33139 www.miamibeachfl.gov
City Clerk'Office
Tel: 305/673 —7411 Fax: 305/673 -7254
ANNUAL LOBBYIST REGISTRATION FORM
Name: Jamie Maslyn-Larson
Business Name: West 8
Address: 333 Hudson Street,Suite 905, New York, NY 10013
Phone: (212) 285-0088
Email:
If more than one Lobbyist,please list:
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3)
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MCR#: L0 a'T O
Amount paid: 6DD Date paid: 3
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Send this form with a check for $500 payable to
the City of Miami Beach for each lobbyist
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City of Miami Beach-Florida
Finance Department
1 City Hall
1506213-1 03/03/2015 BR1 T118
Tue Mar03,2015 10:20A11Trans#22-22
22 $500.00 MCRCLERK- - MCR-City Clerk
* MCR#: 402730
1 ITEM(S): TOTAL: $500.00
Check (002069) PAID $500,00
Have a nice day!
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