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Monika Entin - 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: •I °'1) Michael J. Marrero-mmarrero @brzoninglaw.com •t, =2) Carli Koshal ckoshal @brzoninglaw.com -3) Monika Entin mentin @brzoninglaw.com 1 -4) Jeffrey Bercow Ibercow @brzoninglaw.com / 5) Michael W. Larkin mlarkin @brzoniglaw.com 611:ustin Karr Jkarr @brzoninglaw.com -7) Matthew Amster mamster @brzoninglaw.com 8 Gianeli Mestre gmestre @brzoninglaw.com Gregory Fontela gfontela @brzoninglaw.com MCR#: 9071s cr, Amount paid: VI 1 1 5 Date paid: /IV • Processed by: D(kk QUA■. Camr Date: 1 ti Send this form with a check for $500 payable to ` Cfl the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx 'Miscellaneous Cash Receipt E .- �_ .1 ti a „ 0 i +.1?4 J 0-1 -- - CITY OF MIAMI BEACH ;,- ;-,., g;i -#.. . �b ¢,5e.' r 0 Cash 0 Credit Card Check#\ ` .; 4) ) 20 1 , Received of Ll ..o Y Address • 1 €'r(O R c,d„ ell f eri-)4 ±rid.'' _ /06 5, ..3 �' _.S _4 � ' ! � ����si��� �� V. is ,.•C! � �' � ,,44;o��; 1 For 'ell: .Nc1 I- e. 0 Ai 17(1• `\ F// y/ F �q+ `-: 1 Ai ff- * t Lea r C r (o- 4 7 6 J 'Y-R \ A M 0...i",1 i R fi--1, ) �� _ ? i�)- .- : ,.-. 1 - t- r= -��r----)Lfi :L,,,Warr ; f1 1'4_ , _r . =' t b -) i tc= tG } J t / (THIS INFORMATION MUST BE E COMPLETED) Office of Finance Director '. By • .S Account N 9 _'. umber: ' - �i�'° r Preparers k.s k(a'' 6 M Dept:. C - I. .- >:sir.,-. ..,ice.:, c - T, ,.2, ., _, :,• _ f,,,. • 2i c --• -X- Co -n - . -- C7 < CD 1---1 3 O -. Cr! = r+• CD C) -I C) O CD D `C Cu "-m i cn _. -- = 3 #k Cii CD Nr+ C7 O ---,•--,-- O ICI O`C CD -4, CD --'— OCX) 2 D _3 C) 0 -- 0 -CD O - ONO .0 Cu Q CJ1CD DCO0C0=_, Cu C Illiiiii.: u CO -I ---` r- `C CJi _ 3 Co a W ,---,r" C) O _ _ CD CD �_ rC) -- f Co O f"F �_ _ O O �J -ID C 3 I m ( -EA) CD 3 07 CJI - i O O O —I-I -- -0 O O 3 ---I O C) D GU O q* Co O C7 Co J- O r i- 1 ‘C Co O CD ) J •D T 1