Annie Carruthers - Edmund Irvine City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
A
Expenditure report for period of 1/1/2015 through 12/31/2015 a ;! ?
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 Annie Carruthers
Principal Edmund Irvine
Issue Present to DRB for residence at 1433 W.22 St
PLEASE COMPLETE THE SECTION BELOW
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Detail Compensation Received: IAifl GOJiAi 5Q i'O/1
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel: 0
Lodging: 0
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disclosed her/ . d any attachment
hereto are true and correct.
AIL
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
XProduced ID Loc. ®tom 9V3 / C'Q1 �---
Form of Identification Signature of Public Notary—State of Florida
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Diane J.Congdon Sworn to and subsc ibed before me
Personally known °'xt,,e1„ State of Florida This 1 day of F� 20 fop, .. My Commission#EE 216647
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Expires:July 16,2016