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Bonnie H. Stewart - December 2014 111116. ® - 1915•2015 MIAMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673-7411 March 31, 2015 Miami-Dade Clerk of the Board of Co. Commissioners 111 NW 1st Street, # 17-202 Miami, FL 33128 Pursuant to Section 2-11.1(e)(4) of the Code of Miami-Dade County, attached please find a copy of the Miami-Dade County Quarterly Gift Disclosure Form, for the quarter ending December 2014, for Ms. Bonnie H. Stewart, Commission Aide at City of Miami Beach. The original has been filed with the Miami Beach Office of the City Clerk. Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, /(' / Rafael E. Granado, City Clerk Attachments REG:clr Sent Certified Return Receipt F:ICLERI$ALLIGIFT DISCLOSURES1201414th Quarter Oct-DectBonnie H.Stewart-MD Bd of County Commissioners.docx MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: \� n`te - C► cE oani b:rAch STREE ADDRESS: ) 114k* OFFICE 0 POSITION HELD: DOCbn yen n( niri. �... COn2Qn IC.b CITY: tr, 1&xn FOR QUARTER ENDING(Check One): ZIP: ‘? ❑ MARCH ❑ JUNE COUNTY: COI Q, f . Cam ❑ SEPT. DEC. YEAR:20 PART A: STATEMENT OF GIFTS. List below each gift,or series of gifts,from one person or entity in excess of$100,accepted by you during the calendar quarter for which this statement is being filed.Describe the gift and state the monetary value of the gift,the name and address of the person making the gift,and the dates the gifts were received.If any of these facts are unknown or not applicable,state this on the form.You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT D d`O I Chr-1,5-tync,6 59a) a l�-� r�rV�IA�® X100 Cu��Gr�hC�co,c.oc.`0->e› Abgri 2014 Chtfr6Apna CP4r.S)C 0**N.kb,p 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: FILING INSTRUCTIONS.The signed and notarized form must be filed no later than the last day of the calendar quarter that follows the quarter for which this form applies.For example,if a gift is received in March, it should be disclosed by the end of the next quarter,i.e.,June 30.County personnel file with the Clerk of the Board of County Commissioners, 111 NW 1St St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with their respective municipal clerks. PART D: OATH. I, the person whose name appears at the beginning of STATE OF FLO_I1ID 1 . ��� this form, do depose on oath or affirmation and say COUNTY OF J'' • that the information disclosed herein and on any attachments made by me constitutes a true, accurate, 4poi.to(or affff e aandd ubsc ib before me this and total listing of all gifts required to be reported by I y,day of �M tl ,20 V Section 2-11.1 (e)(4) of the Code of Miami-Dade 1�'r County. by L • I,t _ 1 (Namerof Per •M. 'ft Disclosure) • (Signature of N. • . c,State of Florida) -- ---Si at a of Perssn Making Gift Disclosure �, g g (Print,Type,or St ommissioned Name of Notary Public) Personal pi'� Produced Identification Type of**Ratios,Whited: #; EE 118739 F. EXPIRES : g Aug.04,2015 'b► 7. COE 02/2010 %9 .�.!'!p!!;t!�t',`r`�� a l 1 4 u II _J t9 t1i 1 Certified Mail Provides: n A mailing receipt ® A unique identifier for your mailpiece fi g3 A record of delivery kept by the Postal Service for-two years important Reminders: ® Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. 'I ® Certified Mail is not available for any class of international mail. ® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For '' valuables,please consider Insured or Registered Mail. i N ® For an additional fee,a Return Receipt may be requested to provide proof of . N .O :, delivery.To obtain Return Receipt service,please complete and attach a Return _C C N Receipt(PS Form 3811)to the article and add applicable postage to cover the O fee.Endorse mailpiece"Return Receipt Requested°.To receive a fee waiver for `�— 'CO cp a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is O ? N required. - - •— N- ® For an additional fee, delivery may be restricted to the addressee or „,- E -cM addressee's authorized agent.Advise the clerk or mark the mailpiece with the 0 O O endorsement"Restricted Delivery". ` _I \t ® If a postmark on the Certified Mail receipt is desired,please present the arti- - . (%) ti cie at the post office for postmarking. If a postmark on the Certified Mail ce 0 - ' j receipt is not needed,detach and affix label with postage and mail. CD 0 T4 c o -I ITS MPORTANT:Save this receipt and present it when making an inquiry. 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