So. Beach Ocean Parcel 2/8/02
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
LOBBYIST REGISTRATION
AFFIDAVIT
LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS A1fi AGENT,
OFFICER OR EMPLOYEE OF A PRINCIPAL, EACH PERSON WHO WI~HDRAWS AS
A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
(1)
(2)
a.
Lobbyist Name
de la Fuente, Bob
LAST NAME FIRST NAME MI
Business phone ( 305 ) 536-1112 (Tew Cardenas Rebak Kellogg, et al.)
BusinessAddress 201 S. Biscayne Blvd" Suite
2600, Miami FL 33131
~e(O~ h,u.~f Lt.D
Principal Retained By:
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~EA~
Principal's Address
Zip
ilF DIFFERENT FROM ABOVE)
I f a corporation, partnership, or trust, identify and provide the address for the chief
officer, partner, beneficiary, or interests.
Subject Matter (Describe in detail!)
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(3)
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(4)
Identify each individual (Commissioners, Board, Committee, Authority member, or
City staff) to be lobbied.
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(5)
The subject matter in number (3) above is to be considered at the meeting of:
(Identify each entity or individual
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
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(6) State'the extent of any business, financial, familial, professional or other relationship
which exists with any individual identified in number (4) above.
ON JULY 1 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK, A SIGNED
STATEMENT UNDER OATH, LISTING ALL LOBBYING EXPENDITURES IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read
or am familiar with the provisions c tained in Section 2-48 of the Miami Beach City Code
as amended, and all reporting re i e s.
o pid take an oath, or
d'Did not take an oath
(IDENTIFY)
Signature of Lobbyist:
~OnallY known
o Produced ID
State of Florida, County of Miami-Dade
Sworn ~d SUbSCri~ore mV'
this ~ day of I-C(f'./J/J!IJ-
If a Notary: Print, Stamp or Type as Commissioned
ANA M JIM~
NOTARY PUIUC irATI! OF JIt.ORIDA
COMMlISKlN NO. CC/IS!It17
1lXP. Y 28
******************************************************************************
Registration:
FOR CLERK'S USE ONLY
D REJECTED
DATE;2-/ I ~O
Ifrejected, state reason: /
Registration fee paid: ~ es D ,./
D Cash gl'Check
DATA ENTRY DATE _.....() ,~
D Not For Profit Organization
D Documentary Proof Attached
MCR Noo
ENTERED BY
221998