Luis Jauregui - Eastshore International Corp. MIAMI 'ilk EACH ,
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City of Miami Beach JO;r_ 2 M 10:
1700 Convention Center Drive _•
Miami Beach, Florida 33139
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: L.ui g is t're c' l
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o -� it aftovt&l QAse Business Name: ��5�or I
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Address. /� 5 dl �� �
Office Telephone Number: Va, �9 c — &c-18 - ZOOC
Cellular Telephone Number: (o -II 0 - 188/
Email Address:
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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#: 0 (1-1
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Amount paid: O° .C7 Date paid: d) -.2 1
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Processed by: --,Mco AJ Ski-V011-0 -6 Date: 0
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