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Monika Entin - Anthony Moonen 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 Monika Entin Principal Anthony Moonen Issue Development Approvals and permitting issues at 1691 Michigan Avenue, Miami Beach, FL PLEASE COMPLETE HE SECTION BELOW Detail Compensation Received: 3400 2 CATEGORIES 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Research: • Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disci. ed herein and any attachment hereto are true and correct. Lobbyi . SIGNATURE AND STAMP OF NOTARY: Produced ID ,, _ I..di • Form of Identification ••.0AT°C/9'•. BETTY LLERENA Sig,atu - •lic Notary—State of Florida • •os .s Notary Public-State of Florida - Sworn to a • su ribed before me Personally known =�, III) •• My Comm.Expires Mar 5,2018 This�day of 20 t� •,;FOB P' Commission # FF 078662