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Diana C. Mendez - LSN Partner / Llorente & Heckler, PA
r M AMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 7015 OCT - I !j;1 o. 51 www.miamibeachfl.gov City Clerk's Office CH 1 C 1_c_;{, :, (I--t-.� _r 'r��.r Tel: 305-673-7411 f"`- Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: AV 01pdP, y • Business Name: L3\1 0oX\'rwX LLc r 4al PA Address: o \ _r-no( &ckt& SV4D 1 N`6 , Office Telephone Number: (SOQ (o9-E '--- ave-.3---- Cellular Telephone Number: ( ©q (0-9--3 — a-s� Email Address: ACY- X -'airs L_sl VaJA-OVIS . an If more than one lobbyist,please list: 1) oCkloke\ LLO TYT . 2) p 0iA(\,ca C ,r``'.0 3) ROrcP_L o LLB 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#. Flo (5°3 Amount aid: 2_ 0, a ' Date paid: ) VI /(S P P Processed by: -2OO d,on Date: 1 5 ` 11 S- FACLEIWALL\aFORMS\LOBBYIST l FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx