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Jorge Esteban - Delaware 5025, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report for period of:1/1/2015 through 12/31/2015 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. 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 Jorge Esteban Principal Joseph Horn/Delaware 5025, LLC Issue Existing house built prior to 1942,approval for demolition. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: 0 Travel: Lodging: (� Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH n State of Florida g County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the informatio a: 'se. erein and any attachment hereto are true and correct. ' r L bbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID Form of Identification Sign. ure of Public Notary—State of Florida Sworn to and subscribed before me Personally known 4`4VIS otary= PRISCILA C. - VOLPATO N Public State of Florida 1 w, F My Comm.Expires Aug 14.2018 0 ••;ou,'.0 Commission#FF 151140 0 /