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Carter McDowell - Carnio San Marino, LLC 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 Carter McDowell Principal Carnio San Marino, LLC. Issue Dispute regarding proposed construction of storm water lift station PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 1 o z 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 discl.:-d hz ein and a y a ac ent hereto are true and correct. Lobbyist Signat•re SIGNATURE AND STAMP OF NOTARY: 2otPa;A�e4o IBISDIAZ MY COMMISSION 11 FF111262 EXPIRES:May 24,2018 Produced ID % OQ`\O! Bonded Thru Budget Notary Services IRO Form of Identification Signature Signature of• • -c Notary—State of Florida Sworn to and subscribed before me "Personally known This Iz day of ,20 I