Kobi Karp - Kobi Karp Architecture & Interior Design, Inc. r •
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MIAMI BEA H
City of Miami Beach
1700 Convention Center Drive 205 NOV 24 9: 34
Miami Beach, Florida 33139
www.miamibeachfl.gov CITY'' i:_ ;, 11- F I i`
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Ko1 I e
Business Name: KO I l<(AT /4
Address: 2_9 1 S 1bIçj • e.Oo PL 31133
Office Telephone Number: '30S — 59-3- I t3 I
Cellular Telephone Number: 30r - St3S a
Email Address: A -cwV1 T1/ €XDL I gC010„ Co1-1
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#: 013272,
Amount paid: ar e)r) Date paid: 1 1/ 2-M) I
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Processed ter,b :y Date: 11 ?Ci)
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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(THIS INFORMATION MUST.BE COMPLETED)_- - Office of Finance Director
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Prearer: � Dept: -- �` l EXT. .
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City of Miami Beach-Florida
---_ Finance Department
1 City Hall
1532813-1 11/24/2015 BR1 T137
, Tue Nov24,2015 09:32AM Trans#9-9
9 $500.00 MCRCLERK - MCR-City Clerk
* MCR#: 408322
1 ITEM(S): TOTAL: $500.00
Check (006315) PAID $500.00
Have a nice day!