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Wayne Pathman - CBS Outdoor, Inc. 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 I 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 citvclerk @miamibeach.gov. Lobbyist Wayne Pathman Principal CBS Outdoor,Inc. 124•DOK-- ()Litre-a- - i1 % Issue Billboard permitting and relocation of landscaping for 960 Arthur Godfrey Road. PLEASE CO PLETE THE SECTION BELOW Detail Compensation Received: CA EGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclos- he • and any attachment hereto are true and correct. Lobbyist 'gnature SIGNATURE AND STAMP OF N S. : r?S'�' ;s. MY DORINDA TRIPONEY Produced ID ! � COMMISSION#FF224382 _ _�� ;�1 ..... r EXPIRES:July 10,2019 �� Form of Identifica��n'%-.,p;g;..�' Bonded Teti��ery public UndenvrlEon Sig - ure of Public Notary—St.�+° of Florida Sworn to and subscribed before me _ /Personally known This24 day of1i9I20/4