Carmen J. Gimenez - Carmen J. Gimenezr
City of Miami Beach
Lobbyist Fee Expenditure and Compensation Statement
City Code Section 2-485
r
7016 P
, .I kt-i I I. 4, I
Expenditure report for the period of:`-3 C'"'1 / -° IS through Dec, 5 I °15 r
A statement shall be filed even if there have been no expenditures or compensation during the reporting period. u '`-
This statement is to be signed, notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center
Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after
the due date. If you require any assistance,please contact this office at 305.673.7411 or at cityclerk @miamibeach.gov.
Lobbyist Ccz.�(vc� - C iYVvz_iNS1:z-
Principal C_ck- --wvz___ - ■1.12.->----
Issue , ENr s uD\�-�. - - cum 0-e-vo T Sc e (C NfeS
PLEASE COMPLETE THE SECTION BELOW Cc&v)cz-e.3y1,-
00
Detail Compensation Received: 0 —
CATEGORIES OF EXPENDITURES
Food and Beverage: _ 0
0
Entertainment: (L,
0
Research: O
Communication:
��
Media Advertising:
O°
Publications:
0o
0
Travel: 0
v
Lodging: 0
Special Events: a° I
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH ,r�-7
State of Florida, j
County of Miami-Dade
I,the undersigned lobbyist do hereby depose under oath and affirm that the information disci._- er in -. ny at . _ment
hereto are true and correct.
41% 7
—died
4obbyist Signature /
SIGNATURE AND STAMP OF NOTARY: zr
V TT ^4:1-05-, 'I / , I Poduced ID � �
Form of Identification `l;"11 °'4s1;,,
CYNTHIA L.NEVES p Signature of Publics� otary—State of Florida
Personally known ::?%* 1,, % Notary Public-State of Florida Sworn to and rtbscribed before me
9 I`• My Comm.Expires Apr 30.2018 , This c-'91 diof-MP/ 20///
•;FO��n. . Commission # FF 118240 0
[AL E R\SAIi\al-ORMS\i..OBi3YISi FORiMS\CM13 I..I"E::�aCS.., f RAtu.,,4!i 16
0