Dacra 2/8/02
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..04.
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)
Lobbyist Name
de la Fuente, Bob
LAST NAME FIRST NAME MI
Business phone ( 305 ) 536-1112 (Tew Cardenas Rebak Kellogg. et al.)
Business Address 201 S. Biscayne Blvd., Suite 2600. Miami FL 33131
(2)
Principal Retained By:
b~c~
Principal's Address
Zip
(IF DIFFERENT FROM ABOVE)
a.
If a corporation, partnership, or trust, identi fy and provide the address for the chief
officer, partner, beneficiary, or interests.
(3)
Subject Matter (Describe in detail!) <'t. C/J.1we;< ~1\.D1€LY-
't~\le~Hf t..'l'r' ~^..(,l\,~IS ~f,) duE)', ~9 '1l\f c.'l-y
lOiliii \r'~ ~~ A.r-)tl {h()k\Rll fJt AA:rIJItJ.ic!'iJc
(4)
Identify each individual (Commissioners, Board, Committee, Authority member, or
City staff) to be lobbied.
, \AIJ"fl~7
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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.
,
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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 ofthe foregoing facts are true and correct and that I have read
or am familiar with the provisions contained in Section 2-48 of the Miami Beach City Code
as amended, and all reporting r . erne ts.
Signature of Lobbyist:
~OnallY known
o Produced ID
(IDENTIFY)
o ))id take an oath, or
rt Did not take an oath
State of Florida, County of Miami-Dade
Sworn to"'" ,""scribed ~
this ~ W'-' day of R
,
If a Notary: Print, Stamp or Type as Commissioned
!oNA tot llMlNIZ
NC7I'AltY PUlUC STATS Of)ll.OlUDA
COMMllSlON NO. CC8S9t17
N EXP. Y
..............................................................................
Registration:
Ifrejected, state reason: /
Registration fee paid: ~s
FOR CLERK'S USE ONLY
o REJECTED
DATE
o
DATA ENTRY DATE
o Not For Profit Organization
o Documentary Proof ttached
eck MCR No.
,~ ENTERED BY
221998