Monica Salinas County Form QTR IIIMIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.aov
Telephone: 305.673-7411
December 28, 2022
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 September
2022, for the following City of Miami Beach Personnel:
Monica Matteo-Salinas - (City of Miami Beach Commission Aide)
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.
Respectfu
Rafael E. Granado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME -FIRST NAME -MIDDLE AME:
NAME OF AGENCY:
Ut
STREE ADDRESS:
OFFICE POS ON HELD:
CITY:
FOR QUARTER ENDING (Check One):
ZIP: ?�t3�1
❑ MARCH ❑ JUNE
COUNTY: L&,VV�, '� Y,
10 SEPT. ❑ DEC. YEAR: 20
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
RjECnE'IVED�
DESCRIPTION
OF�c-GIFT
MONETARY
VALUE
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
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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 1 `t 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.
n U---
ignature of Person Making Gift Disclosure
COE 02i20 10
STATE OF
FLORIDAFCOUNTYOF /t� Alow-1-7
by
or o (or a irmed) and subscriWd-before me this
ay of `t�G ,20
Public.
� M !F� S 7' /v
(Print. Type. or Stamp Commissioned Name ofV91fry Public)
Personally known to me or ❑ Produced Identification
Type of Identification Produced:
SAY P CHARLES J. DAGOSTIN
MY COMMISSION # HH 165705
p_E_,,X__PJJITMRE_S.: December 14, 2025
'lFOF iV�a`, ® INR1 II.Y Wary PUBIC UnderwnterS
D MAIL
III I IIIIIINIIIIIIIIIIIIIIIINICity Clerk USPSCERTIFNIINIII11111IIII III9214 8901 9403 8399 6682 58A
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
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Return Reference Number:Monic Salinas Gift Disclosure
Username: Charles Dagostin
Code Violation #
Court Case #:
Property Address
Permit ID #:
Custom 5:
Postage: $6.5700