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Carmne J. Jimenez 2023 Fee Expenditure and Compensation Form RECEIVED City of Miami Beach DEC 14 2022 Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 0rry OF MIAMI BEACH OFFICE OF THE CITY CLERK Expenditure report for the period of: 1/1r2022 through \2-/3 I/2oZ2- A statement shall be filed even if thereave been no expenditures or compensation during the reporting period. This.statement is to be signed, notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due date. If you require any assistance, please contact this office at 305.673.7411 or at citvclerk@miamibeachfl.gov. Lobbyist0--6?r u cry x - Principal 0_04- ge__C7e-e A (`7 yL Issue Con r o P' vLS • PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: /CATEGORIES OF OF EXPENDITURES Food and Beverage: Entertainment: Research: Communication: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do hereby depose under oath and affirm that the information di - -. herein an. .ny . ent hereto are true and correct. SIGNATURE AND STAMP OF NOTARY: pATRICKD.CAMM ro ,�` °'e st Signature c " �'�c•. OMMISSION#HH 254889 :*: MY C } � 11 �-�� Eg � ,2028 Produced ID rL paver G C ,;r��`P°� E)(PIR :AP 19 — • / Form of Identification - - Sign,, re of Public No —State of Florida _Personally known S orn to and subs ribed before me This 1 LA da1f 7 ,20 2'�- F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\CMB LFEaCS.doc Rev.01/04/16 or Ccu -e, . T< G', r-'ene2