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Bonnie Stewart County FormMIAMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www. m iami beachfl.aov Telephone: 305.673-741 1 April 4, 2018 Miami -Dade Clerk of the Board of County Commissioners 111 NW 1St Street, # 17-10 Miami, FL 33128 Pursuant to Section 2-11.1(e)(4) of the Code of Miami -Dade County, attached please find a copy of the Miami -Dade County Quarterly Gift Disclosure Form, for the quarter ending December 2017, for the following City of Miami Beach Personnel: Bonnie Stewart — Commission Aide (City of Miami Beach) The original has been filed with the Miami Beach Office of the City Clerk. Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully F Rafael E. Granado, City Clerk Attachments REG:cd Sent Certified Return Receipt 7014-1200-0000-2403-1605 MIAMI-DADE COUNTY R E " r r- r QUARTERLY GIFT DISCLOS jpp _2 P11 2: 11, LAST NAME -FIRST NAME -MIDDLE NAME: C�.t k ,t^ n n1•43, tt STREE ADDRESS: CITY OF MIAMI EACH NAME OF AGENCY" IUL. OF THE CH Y CLERK OFFICE OR POON HELD (Duni ` f �' J t lOocolu2nticr, rk,h,- Ar. . , _ 1 C1rY�n o-;sstnn (ltd -e CITY: m lul l or. ' FOR QUARTER ENDING (Check One): ZIP:33I�.�I 0 MARCH 0 JUNE COUNTY:1m tCll nr -Wall. 0 SEPT. 13 -DEC. YEAR: 20 l'7 PART A: STATEMENT OF GIFTS. List below each gift, or series of gifts, from one person or entity in excess of $100, accepted by you during the calendar quarter for which this statement is being filed. Describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the dates the gifts were received. If any of these facts are unknown or not applicable, state this on the form. You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE RECEIVED 1017/oi— I I l ).a0 1'1 DESCRIPTION OF GIFT tt 4CQ c� For.K *'h h3, enait a„ MONETARY VALUE NAME OF PERSON ADDRESS OF PERSON MAKING THE GIFT MAKING THE GIFT a-rAZ 1340161 �t i L1 CHECK HERE IF CONTINUED ON SEPARATE SHEET. ❑ PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT. If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM. ❑ PART C: FILING INSTRUCTIONS. The signed and notarized form must be filed no later than the last day of the calendar quarter that follows the quarter for which this form applies. For example, if a gift is received in March, it should be disclosed by the end of the next quarter, i.e., June 30. County personnel file with the Clerk of the Board of County Commissioners, 111 NW 1st St., Suite 17-10, Miami, FL 33128. Municipal personnel file with their respective municipal clerks. PART D: OATH. I, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true, accurate, and total listing of all gifts required to be reported by Section 2-11.1 (e)(4) of the Code of Miami -Dade County. COE 02/2010 GUACALUPE C RAMOS `�`'�'•; Notary Public - Stale o1 Florida Commission ar FF 992352 My Comm. Expires Sep 8, 2020 Bonded through National Notary Assn. STATE OF FLORIDA if J `gig bAtE. COUNTY OF -1 1 Sworn to (or affirmed',and subscrib before me this Sit day of ,t<�l�t:! , 20 by c� D 4-4.1)pe_ (Personally known to me or 0 Produced Identification ype of Identification Produced: (Name of PersonMaking Gift Disclosu (Signature of Noyry Publid, State of Florida) 9,�2t52 V (Print, Type, or Stamp Commissioned Name of Notary Public N • • m ru Z � 3 v D y D D 0 ru 3 ..G' w crif L✓ Q cstri (0 mow o • f i (0 o 0 (T1 G+3 w W 0 3 T r w W CO co 0 d O 0 n 0 c 0 0 3 3 N o' CD ayT to IIn ° aped-ivaeiw 3 00 a tr. al 0 N - 0 SD 0000❑❑❑❑W s>>c00oa2gc gm m X :'ga_�_ „obo-i>>namm• -< 0. me0 o'°�=a, --0mcc'I mmN M < 13 ®m m 3 2.2 a N_ N m N _ (p a �. a 6 N a p Fi » a -0 m EL.. n �. N '.. N m o p $- a C. m - v m a $ m m m •o m a.• 3 mC fD .2 N O 0 0 0 0 0 0 Q3 m - �mrnm7iva�:o 0 m °«E, o 0.m8o i 3 3.md�3 mw� ,3 amm°.c, aai '00 co 0 ▪ 7 • m'O d. F'..p - OZ N OM a CO m 3 2 o gi i g - a a m d d y N .,, w >> m N m '2 iD rcvl�.x��ycl�r�rr..:#_g6. LR.kG1IPLi/dULeIeM%-iLfMIVINrIGifeb; 1 t11 I1) D D rR - r-1 m m D 0 ru ru D D D D D D D nJ nJ r -R rR r-1 ra D r- f` CL 0 1-1-1 u o r • w - 0 w - E oa 1rip w 00 5 • o E C O � ' G 0 � o eu� U.S. Postal Servicer. CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Postage $ Certified Fee Retum Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here Total P^<t=^. k Gee< Sent To Miami -Dade Clerk of the Board of County Commissioners Street, or PO E3 111 NW 1st Street, # 17-10 Miami, FL.33128 City, Sty PS For CO