Jeffrey Weinstein - Via Management, LLC AA I AAA I BEACH
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City of Miami Beach
1700 Convention Center Drive 2016 SCF 30 Pi 1: 40
Miami Beach, Florida 33139
www.miamibeachfl.gov
CITY
cil 1 IIJI
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: 12i ob c-r# \4en nQ.,44
Business Name: UTA Mana emervi- , LPL
Address: ) ( t l LinCOVI 0,04d , a.)1.-1-e.. /GO H►cen 32.UC,h 33I31
Office Telephone Number: (305) 53% - 13 IC)
Cellular Telephone Number:
Email Address: 5 I Ope,z vi grMUllgctM
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If more than one lobbyist, please list: J
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2)
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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.
n For City Clerk's Office Use Only
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MCR #: L\ 2,q0
Amount paid: )QC7b,o b Date paid: 1/3 0/11
Processed by: Date: R 0/l i
F:ICLER\SALL\aFORMSILOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.tlocx
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Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
0 No. 412904
❑ Cash 0 Credit Card )1Cheok# 5L� $ 1(,,GA(../ 0 0
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Received of NO�;C: -\ ► S1 Y7, 4 f `'(1"t'(= y 1 v(-•r, ) , , F1
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City of Miami Beach / 1, s
_pp�r 6 ; Er 1 I MiscellaneousM P 21 A.000599-0022 Adrian .(09/30/2?16 01:40PM
MCR OPEN ! /
Payment Amount: 1,000.00
MCR412904 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
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Account Number: -
Preparers I-G\ CCAnu-....- Dept: EXT:
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