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Graham Penn - Bercow Radell & Fernandez MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeach8.gov City Clerk'Office Tel: 305/673 —7411 Fax: 305/673 -7254 ANNUAL LOBBYIST REGISTRATION FORM Name: Graham Penn Business Name: Bercow Radell & Fernandez Address: 200 South Biscayne Blvd., Suite 850, Miami, FL 33131 Phone: (305) 374-5300 Email: gpenn @brzoninglaw.com If more than one Lobbyist,please list: °1) Michael J. Marrero—mmarrero @brzoninglaw.com t -2) Carli Koshal ckoshal @brzoninglaw.com -3) Monika Entin mentin @brzoninglaw.com I -4) Jeffrey Bercow ibercow @brzoninglaw.com / -5) Michael W. Larkin mlarkin @brzoniglaw.com (617-Justin KarrJkarr @brzoninglaw.com -7) Matthew Amster mamster @brzoninglaw.com B Gianeli Mestre gmestre @brzoninglaw.com .Gregory Fontela gfontela @brzoninglaw.com MCR#: Amount paid: 1// ,.1i S Date paid: 'W • Processed by: tip Carnrr 2 y: � Date: 1 ���� � _� Send this form with a check for $500 payable to ;fit the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx • Iw a t iacellaneous Cash Receipt 0 Wa y y ��� , �+/ {..... 1 o u0-1 131 CITY OF MIAMI BEACH _ 1(3 ��'' _ it. 'S�.�ll t-I�+r'3 �i �f11E�.�.�--`��� '��w�y_�,z�,�c�-e���. s y .la,. tY No -44' ill:. �,u ' .' ' /40,-.-.:-::: 0 Cash a Credit Card Check# \ Received of Ll 4 l - 20 :) , , Address ° 1 er<0 a.-► - -�- - .• R q . e It f t�(P114 y�,rj /0'6 5< F 4-4 .. e. v x;5,4, `fit }(-: 3)14 For - t _1 4�- '}fie y-,f-i ' rl'1c 1 , Anti''ro c i: I, 6 1--- ; - _- _, - ___. )(t.r_ '''.--er((-),,.)- _ 10:e LA I.-t-Y i/ r r �, �^ / �. J ¢.` t (THIS INFORMATION MU ST BE COMPLETED 'iLD'7"V5 -t 6?-1-1E1 et IC) ) , 41ii 111 441 qeg 1 ..' ,,., , } ; COMPLETED) Office of Finance Director.' _`,4 Account Number: t N I O Preparers 't\ r Dept:. ; 4 (lei<K EXT 71/I f _ ..-.. -.:.... .. , ._ . .,:j1 2 CD ---• * CO m -• CD < (D 1-4 3 O -.- N = ,-+ CD 0 -I CD a) C7 CD `< X-rn XJ-89. cn --• --- = DJ 3 *k C.31 CD N rte- C7 a it r-,-- O O`< CD -, � ' 0" 000 - 2 D3 • O - CD O MONO - -0p Cu -, -1 -. O O CO -. Cu Ca. CJI O CO C -I Cu CO --I -. r-4- 01 D 3 co • - ---S r' C D O\ CD CD H 0 CO O 'f C7 _ o O � D -n -E CD X3 OD _, Csi - - O O 00 3 � -1 Q O C) D Cu Z7 CO CO # O CD CO O ,-f- I `< CO O CD CD •