David Marc Buckner 2023 Annual Lobbyist Registration Form MIAMI BEACH RECEIVED
APR .25 2023
City of Miami Beach
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
David Marc Buckner
Name:
Business Name: Buckner and Miles, PA
Address: 2020 Salzedo Street Suite 302, Coral Gables, FL 33134
Office Telephone Number: 305-964-8003
Cellular Telephone Number: 786 303 3447
david@bucknermiles.com
Email Address:
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
MCR#:73551
Amount paid: jg S CYo Date paid:
Processed by ' NQ'4"9VGZ Date:
F:ICLER\SALL1aFORMS\LOBBYIST FORMS ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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Thank you for your payment
CUSTOMER COPY
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