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Leslie E. Patin Annual Lobbyist Registration Form IA/\/\J City of Miami Beach ND Convention Center Drive ,JAN 31 Miami Beach, Florida 33139 I BEFtC. www.miamibeachfl.gov c y OF MIAM City Clerk's Office �� pl�E OF 1-NE CIT`(CLERK Tel: 305-673-7411 Fax: 305-673-7254 - _ Office Use.Only ANNUAL LOBBYIST REGISTRATION FORM Name: (- s ' rC--- Business Name: G�^ 4 ' ^ v C Address: CO !mac "( (‹ 4 fr .0 2 / S- G s S z‹�. 3313 y Office.Telephone Number: Cellular Telephone Number: Z f 2 4 2 Email Address: v eJ ` Th If more than one lobbyist,please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each. lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only RECEIVED MCR#: LCO k 2 7 �� JAN 31 2023 ' Amount paid: B Vu Date paiCd;I Y OF &� � MIAMI BEACH Processed by: Date: OFFICE O�THI ri B ACH F:ICLERI$ALL1aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx i, ,.,,, 1s„"�?,*x?,s�., tsw,s`,^r,;.r�.ua"""„'"n. s': ^„ ..,gRas.�+^ws-e+,.,- '+,.;".,.?,-rcavX,es" .J%3e,\�;x ..:"k ". .. ," "ti ,;r- fit`*" -t- -c,: ,,,s",„.4;' -„";,;;;.s ,a,,`,>., ,:,7' `' - ":,-ice "",j'°:=�� ,, ice' 3� 4,` SA"�r ,,,,v„ fit.. :q i'c�`k 4.\�A?' vt t". ,`a "X >y,t y N�, v "S< 'a. w\\C., ,tR iyF �x+zr, 3°C� Y S ' ry, x�`"t MBE'a• 'Ai?. yt {{ 0 1 City e� Center Or, ��� a�r�=•-: n r b ,Fs„ 7 Dq Convention C3i� ;dab Beach a3• ��, y r\ FL r,\ ,� Mia mi\a�` � 't�'' .O ,x, a .c �,„ -7 a { /x{a.. ry 1`ry �ix3 _',lam"i9 N �\,tT< _. come =f � �;�,t`y elc m��3 .,.; W 420 �� 'rat<_ . i`„,w... 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