Justine Velez - David Smith City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Expenditure report for period of:1/1/2016 through 12/31/2016 ZO FEB �,I 10. ,R f
A statement shall be filed even if there have been no expenditures or compensation during the reporting period. ..- -F l•
CITY - 1__L-_,,,,. .) 1J, ,
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 @miamibeachfl.gov.
Lobbyist Justine Velez
Principal David Smith
Issue Development board Approvals for 1901 Alton Road,Miami Beach, FL
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
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Food and Beverage:
Entertainment:
Research:
Communications: } r
Media Advertising: 1 O N L
Publications:
Travel:
Lodging:
Special Events:
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED: /PCPPYIh'r 15, d 2/5
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
hereto are true and correct. / 'n n /I/
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Lobbyis Signa re
SIGN TURE AND STAMP OF NOTARY: ,_ _
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— -��.b� EXPIRES:September 14,2020 I!, s^ P
Form of Identification '-,'� P,•'
R.:V.••' Bonded Thru Notary Public Unde ure of Public Notary—State of Florida
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_Personally known This 4 day of 66,20 17
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