Bar Brothers, Inc. 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 A1lY 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.
(2)
Principal Retained By:
Biscayne Blvd.. Suite 2600. Miami FL
~M, ~(l.() 1" ~ I\S I -.9~('.
33131
Principal's Address
Zip
!IF DIFFERENT FROM ABOVE}
a. If a corporation, partnership, or trust, identify and provide the address for the chief
officer, partner, beneficiary, or interests.
(3)
Subject Matter (Describe in detail!)
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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
on
on
on
on
on
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,
or
"
(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 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 req . m nts.
Signature of Lobbyist:
~SOnallY known
o Produced ID
(IDENTIFY)
o Did take an oath, or
~ Did not take an oath
State of Florida, County of Miami-Dade
Swomp-and subscribed ~efore me
this day of R~
I
If a Notary: Print, Stamp or Type as Commissioned
o CIAL
ANA M JIMENEZ
NO't'ARY PUBLIC Sf ATE OF FLORIDA
cm4M~ION NO. CC8S9117
MY COMMISSION EXP. Y 28
******************************************************************************
Registration:
FOR CLERK'S USE ONLY
o REJECTED
DATE;l.-II-D~
Ifrejected, state reason:
Registration fee paid: ~
o Not For Profit Organization
o Documentary Proof Attached
o Cash ~k MCRNo.
DATA ENTRY DATE L- , 1- L>d-~ ENTEREDB
o No
221998
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