Todd Tragash - STA Architectural Groupr - .
MIAMI BEACH L Q � J k
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City of Miami Beach MET -2 PM !: 16
1700 Convention Center Drive
Miami Beach, Florida 33139 CI PEI CL:-._ ,:''S OFFICE
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name:7c-7:11 T9, 5/
Business Name: 7/9 4cA'/ ? 6A ' '
6.20
Address: 3 4 4% 44)
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Office Telephone Number: 3 0S- 6- 7/- /�// X 0 il
Cellular Telephone Number: .30.5"-- ?/5 2 7,6
Email Address: cli 69 S 4-C-CX% ThCIu.ez /20(.11 o C 0"77
If more than one lobbyist, please list:
1)
2)
3)
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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.
I For City Clerk's Office Use Only
MCR#: 1A3V10
- Amount paid: lb 5 l 1 - • Date paid: 10/5/
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Date:
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