Stephen H. Bittel - Annual Lobbyist Registration Form ::1. .......
City of Miami Beach Lt115 t3 i r f 12:
1700 Convention Center Drive
Miami Beach, Florida 33139 f ,
Ymw miarnibeechi .gou
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: 11 clnen
Business Name: -"\-e_Xrafl ova Co( (ol-hof
Address: Sol PrVh 'ir &bckErttl M1' (oW, moo beci dAtk,
Office Telephone Number: f:),0 &PIS-- a-31-00
Cellular Telephone Number:
Email Address: S I�' _I @ ��(tra no JO( 0 ip. CoYY1
If more than one lobbyist,please list:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#:
Amount paid: Date paid:
Processed by: Date:
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