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Alexander P. Heckler - LSN Partner / Llorente & Heckler, PA MIAMI BEACH City of Miami Beach - . 1700 Convention Center Drive Miami Beach, Florida 33139 22150P--- a r or 5 i www.miamibeachfl.gov t City Clerk's Office !; Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM ( . Name: MQ o,Xld�, Y vV-ue)r Bus iness Name: LN 0oA'nX vk PA Address: So ∎ -A * 1vr (sod 2d1 s3e1,401 i 1A61 3 1t- Office Telephone Number: .S ( 9:3_ 0 5c Cellular Telephone Number: ('&o ) (c)-a--? - 1S Email Address: Akk-er_!LIU S LSWc(14- rS , an If more than one lobbyist,please list: 1) Ai rIGi \ n-ke___ 2) fOk C, 1\kU\Gt Z 3) tk oxc L O tA/0-f 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#: LICA, O ' Amount paid: 10070, �� Date paid: 16( I /CS- ,,P P non Processed by: �2ODate: , 6( 1 PS" F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx