David J. Coviello - Shutts & Bowen LLP IV
City of Miami Beach 20
1700 Convention Center Drive 2015 P 0 �:
Miami Beach, Florida 33139
www.miamibeachfl.gov C I i l� ti
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: David J. Coviello
Business Name: Shutts & Bowen LLP
Address: 201 S. Biscayne Blvd., Suite 1500, Miami, Florida 33131
Office Telephone Number: 305-415-9437
Cellular Telephone Number: 786-385-8953
Email Address: dcoviello @shutts.com
If more than one lobbyist, please list:
1)
2)
3)
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#: Lib�6a
Amount paid: ;00 ° Date paid: 6V g0/(
Processed by: cGw-"----- Date: 30/1C
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