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Jeffrey Bercow - Bercow Radell & Fernandez� e 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 •1 =2) Carli Koshal ckoshal @brzoninglaw.com 01 -3) Monika Entin mentin @brzoninglaw.com 1 -4) Jeffrey Bercow ibercow @brzoninglaw.com / 5) Michael W. Larkin mlarkin @brzoniglaw.com 6)Justin Karr Jkarr @brzoninglaw.com -7) Matthew Amster mamster @brzoninglaw.com 8)Gianeli Mestre gmestre @brzoninglaw.com ,Gregory Fontela gfontela @brzoninglaw.com `—'-- MCR#: 9 0 1-7-1 co a Amount paid: l i s1) Date paid: Ck 1 �1 LI • J � _ Processed by: ?u*c (U. C Date: Send this form with a check for $500 payable to -- C1 the City of Miami Beach for each lobbyist F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx : iecellaneous Cash Receipt i t r 1 0030 r 3 �d �'1 'i CITY OF MIAMI BEACH t ;_ t • s ,3- No. 41 ;. - . ❑ Cash tCredit Card Check# ) C\ S . ..,.,.- : ? - . . 000. : - -..!: c: 1` 20 : :. Received of (\f(1�\ ..a LL k4 te, - , 4 iN Address ere4 q „ t�It f. fr h„-I? 706 5f , ev e= i v.ci t.Su 1.4c 6 1:. t For j t'4 1.N c1<1- ''c` "1 d•i 'i r( r )< 7 � rt4 (}r �l � . Ylt ; � , rT7r7:y-( tso)rs,-E �� i S �C t t i� `L t I Oi'; -0�� lit r/i i T, �f Y(G�f r 1: _ _ J rF _ .3 :TA__ a , ct— II I, ) . (D(.67) 1 cx y l'CI 41 0•, ' (THIS INFORMATION Mll �� � ' � � F ST BE COMPLETED) Office of Finance Director',..'':,-1 "7 I- `!" Account CO O 9 Y Y Number: _ '°� Preparers ak-\€5 �"�; r` - - Dept: CI- ter C I __ 79)-1 f 'j = - CO -n --. _. _� < CD H 3 O J- N' J- CD C) —1 C7 0) C7 j '< 0) �m �- u = 3q* C11 CD N r-1- C) O ,--r.-,-- O 13 O`< CD -f+ O - O _O '-1ONO — O 10 Cu •!a CnOOJ 000 - -3 -,- ib CO --1 ___• ri `C Ui D 3 co .- O\ CO CD CD - n -- 0 r-+ C) �+ff? r co -- 3 NJ Cr I 0 O X1 -C.A. 73 OD 01 - -• 0 O O � CD 0 3 Cu - Q CD CD = >y - T7 CA W O CD 4. --.- 0 ,+ r1 r ^ CD C J CD