Quik Park of FloridaHP LRSERJE[ 3200
p.3
F3, ~.~: ,t~ im mu:flint if pdm:lpal im a tmltmmtJml, PammHNp m' l'~mlt [~m:l:klm 3'4~Z (G)]
MRR
p.4
1)
2)
P ~rsuant to Ordinance No. 20~-33g:~ Amendlno Miami Beach City Code Chaoter 2. Article VIZ. Division
.TJ ~reof Errdfled 'Cam_oaion Finance Reform' V'w The ,N:ldlUon Of Code Section 2-488 Entitled ~ProhJbited
~.m~aian Co.blbutions Bv Lobbyists On Procurement Issues";
F~Jr~uant to Ordinance No. 2003-3395 Amendino Miami Beach CRY Code Chaoter 2. Article VT-_I DiviuJo~ 5
L'.l~.reof EnfiUed 'CamOaian Finance Reform". Via The Addition Of C0de'Section 2-490 EntlUed 'Prohibited
~rr~:~aion Contributions By Lobbvists On Real Estate Develonment Issues":
Are ¥~l IobbvJne off a Dendina BDnlication for a DeveloPment Aareement with the City Dr
¥. .1~ hA1URE UNDEROATHt ....
ON OCTOBEr, IsT OF EACfl YEAR~ EACH LOBBY~T SHALL SUBMTr TO'THE gui t' CLERK A 5~GNED
STATE,MEF, i ~'JNDER OATH, USI'~NG rOBBYING EXPENDITURES IN THE (2TY OF N~AMZ BEACH FOR
T'H~ PI~.C£.}~NG CALENDAR YEAR.
/
I dO sol,,:mn:~' swear that all of th fqlL~going facts~ t~e and correct and that I have read or am
familial wRh U~provisions c , Code as amended, and all
reporting re. quirement~~
Signatt, e of [~obb~/ist::
Signat Jr,n of Principal/Client;: ~ '
V~. LO a BYT,$T XDB~'r31:XCJaxoN:
Form of Identification
.fZG/~.11.IRE AND STAHP~,T~ NOTARY 01~ D~ CL~RK:
S~.~ c ~MMa, ~t4iem~=l~
Personally Known
~worn ' :, and subscribed before me
fhis_.~,f~ day'Of Bprl~4 .2004. _~~_ 0~o7~
?~T~CtA O'TOOLS Y~ Siq~a~re of Public No~ - S~t~, of ~ ~ ~ ~0~
~ot~ ~blic, S~m 9[~X' ..?,~ ~,~.. Debrah RestO
FO~ CI.EIIK'S USE ONLY