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Monika Entin - Casa Selva, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 rt ^ 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@imiamibeach.gov. Lobbyist Monika Entin Principal Clara R. Urbahn as the Managing Member of Casa Selva, LLC. Issue Development approvals and permitting issues,including, but not limited to Design Review Board, Board of Adjustment, Planning Board, Land Use Development Committee,and City Commission,if necessary. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $403.1 t h19-- CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGE' REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION END D: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disc •sed herein and any attac• ment hereto are true and correct. /- ,., —.-- .es is ignature SIGNATURE AND STAMP OF NOTARY: ,.,--°V4;;,;,,,,, BETTY LLERENA ne`= Notary Public-State of Florida All i : My Comm.Expires Mar 5,2018 OP N Produced ID =r' '''',Y(7:411"`P��' Commission # FF 078662 a ,I Form of Identification F f��o� :, °° S na re of Piiii Notary—State of Florida Sworn to an.1,17 ribed before me XPersonally known Th95day if 6. 0_ °�/