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Monika Entin - Hassan Jalali 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 cityclerkPmiamibeach.gov. Lobbyist Monika Entin Principal Hassan Jalali Issue Development Board Approvals for 45 E. Rivo Alto Drive. PLEASE COMPLETE THE SECT N BELOW Detail Compensation Received: S30 14-1f) 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 dis : ed herein and an. attachment hereto are true and correct. I1 WO •�i Si •M stSgn. re SIGNATURE AND STAMP OF NOTARY: �` a" �' r •° �..- .. �4.,.,_ ,,,,,, , :�o• a�,,, BETTY LLERENA , i� ,`,, Notary Public-State of Florida Pi ` Produced ID . ,;,, , _�./�,0,.- Form of Identification --f��� .a, My Comm.Expires Mar 5,2018 OF p4 Commission # FF 078662 Si 7 •ature i:�c Notary—State of Florida > .> S 'orn to . s bscribed before me 4Personally known Th day o 20 iI