Donald J. Washburn - The Audio Bug, Inc. I,At' \1
City of Miami Beach �� � '+
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov i '` C:L__[ 6 �`� OFFIL
City Clerk's Office
• Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Donald J. Washburn
Business Name: The Audio Bug, Inc.
Address: 3800 Hillcrest Drive, Unit 102, Hollywood, Florida 33021-7937
Office Telephone Number: 954-983-2788
Cellular Telephone Number: 954-881-6036
Email Address: audiobug1@aol.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#: yV SOCA
Amount paid: ( 00,°e Date paid: \ )V1
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