Peter A. Chevalier 2023 Annual Lobbyist Registratuion Form MIAMI E CH
City of Miami Beach RECEIVED
1700 Convention Center Drive
Miami Beach, Florida 33139 MAR 13 2023
www.miamibeachfl.gov
City Clerk's Office CITY OF MIAMI BEACH
Tel: 305-673-7411 OFFICE OF THE CITY CLERK
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: f t Z • C *t}A-LI6-°Z--
Business Name: GI4S-J IAA- It-le- C.'
Address: / /U (t) /1 ?'h4.. Si. Wi io•wti Slriy+eA FL 33J s 0
Office Telephone Number: 7-a b - S C 6 - 4 S-6 ej
Cellular Telephone Number: 44,-�“
Email Address: (,,,,e,A✓ 4 Lent- ® eked L t r C ;dvt/ r
If more than one lobbyist, please list: ` J
/v/far
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
�/ For City Clerk's Office Use Only
MCR#: 4/31r-,/0$
Amount paid: 4 500 Date paid:
Processed by: 2.• Bekaa./ Date:
F:\CLER1$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
4w
�kMiscellaneous Cash Receipt ,:
4 7 ,�n ., _,, , ' w �� .a fib: :
`:' CITY OFMIAMI BEACH t 431408
No
4 ,O Cash ''Credit Card DCheck# , : -/
Received of ' :r- ` , ".: ,.
Address
f :' d2' �zt{ 2 r4:..'"..'.,,q,,.:,,•,,,„°,0.,,!k,.'A,„,,,,,,;?,
.- ..1. rS''\:il:,:',!:::.,':;.':,.,, t-.:,.';j.,.:''.:•Q::,,..,-::.I,:,.''.,'.,,,',::,,:`,;,,,-,:.:,:;-'•,;_,:.„,..'i,"-...',,'..;,:,::,..<.,,'' t
til-1 -
'..,';:1',,,.,..Z.:--,;:,:,..':,::.,:,:,;.;,,;-„,.;:,„,:,,,..,:rP,'.,".::,,.,',,1
' il\
s
? f'•' roW- sk -'' i oak a r
(THIS INFORMATION MUST BE COMPLETED) -. Office of Finance'Director
1' ` Accountnumbet By
.iv ,.fat t y.e .n 4a�'�+, - 'a .4
: 1 gi, ,-.
Preparer,; , r ,1k , Dept �.�-- e _ �"�� � EXT. rf i
r 3 '
1,,,'"i"-'-'.:',A;v:'''''''''''I'..'41;.:Vty.-:;.: "‘v..j,.:5-647. 4-, .;,--ti.-1.,--W-, ,.., -:, J-.;:' : ..::-,;--.:. ..-,‘ :..-.;!,--,---,,;, ,:',„-,:::;-.,..'.:,..„. ,,, ...,,:;,--,..,-,.. .-,..,::,,, "...:... .,,...,:-.'..:;.
fi a' ?p -#d t k iq
t
,„., t. '`.' ''_c s �. a�, ` k{ s. 1 a. ten:
F
•
CMB CITY HALL
CASHIERS
1700 CONVENTION CNTR DR
MIAMI BEACH,FL 331391819
3056737466
Cashier:Ehani
Transaction 103064 •
•
Total $500.00
DEBIT CARD SALE $500.00
Retain this copy for statement
validation
13-Mar-202312:01:15P
$500.00 I Method:EMV
•
US DEBIT XXXXXXXXXXXX9204
PETER CHEVALIER
•
Reference ID:307200521674
Auth ID:074762
•
MID:********0886
AID:A0000000980840
AthNtwkNm:VISA
• Rtlnd:CREDIT
SIGNATURE VERIFIED
Online:https://clover.com/p
/7N3OYTSBE8CYG