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Gianeli Mestre - Bercow Radell & Fernandez MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.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 ;1) Michael J. Marrero-mmarrero @brzoninglaw.com •I -2) Carli Koshal ckoshal @brzoninglaw.com el' -3) Monika Entin mentin @brzoninglaw.com of -4) Jeffrey Bercow jbercow @brzoninglaw.com ®/ -5) Michael W. Larkin mlarkin @brzoniglaw.com Justin Karr Jkarr @brzoninglaw.com -7) Matthew Amster mamster @brzoninglaw.com 8)lGianeli Mestre gmestre @brzoninglaw.com Gregory Fontela gfontela @brzoninglaw.com L} MCR#: 907(0I `= Amount paid: 9// )i Date paid: 11 Processed by: I l k c k/v CCLrnhv Date: Send this form with a check for $500 payable to the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx ' 1° icellaneous Cash Receipt , { ¢J- s-...::- t }15 .ac t CITY OF MIAMI BEACH , i 1 `1.4-:: 4 j F 1°_ : .1:0:1�Ori • Ai ` r r �� . ` ` 0 Cash Credit Card Check# �, r I t c ) 20 , Received ofl ` ® i f \ . o Address 1' `� 77f , y� G C � 'Pjm•1 C�°� Jf i C;dE, X31- f. d 6t ,44r4.,; For t : ..ca 1---.1 f yj,( ,1 j9 - c11r F fvl 7cv'i i iCariex() (6( t + Ras 7t 1C7i'l-.i ij f__-,-p e)'r Alt_ -- Kirlie( !- 1� = r r� f 7 :`N fie . 4, �)- _ i-1.; cat'r` I x'4'1 '— ) ate d qeg , ,: .: - , (THIS INFORMATION MUST BE COMPLETED) Office of Finance Dire_ctor'._' r{ ''--i4'4i),: Account Number: .._ I 1 Preparers i-k t (1r\ 6 M . . :� Dept #- te EXT: 79 I f J C) if co -n —. __. < CD H 3 0 J, 01 _'' n Ni CD —1 C7 �-m73 6000 - C-). C') 3q* 01 CD NJ .--h CC)) 0 ..--.-- O-0 O'G CD -+ M O CO 0 ---• i CD _O - ON 0 - D Cu 0 01 O CO 0 0= __. W -. Q (9 —I -• 01 —. r-F `C 01 D 3 CO a CD I-- C7 0 Cam'] --• 0 CD D_fA 1- co O r+ = 0 O � -0 01 I EA O 3 CD O Crl O I -0 CD 0 3O —I 0_ • CD = —. CU 32I C./) CO O C) C) J. 0 ri- I `.0 CA) O C) CD •