Jorge L. Hernandez - Jorge L. Hernandez, Architect MIAMI . :- ; _: : I
City of Miami Beach 2J6 JUL 1 2 A1•1 7: 148
1700 Convention Center Drive
Miami Beach, Florida 33139 CITY fl;bi; ;= ICE
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Jorge L . Hernandez
Business Name: Jorge L . Hernandez , Architect
Address: 337 Palermo Avenue , Coral Gables , FL
Office Telephone Number: 305-774-0022
Cellular Telephone Number:
Email Address: Orge@ j 1harchiteCt . COm
If more than one lobbyist, please list:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#: yI671JC2
Amount paid: 5OO,°° + 3So,°° Date paid: C7/ ( 1/1 ‘
Processed by: `54 56 t1 5 G I lla�fcic Date: 7l 12-711
1
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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