Carmen J. Jimenez 2022 Lobbyist Fee Expenditure Form City of Miami Beach RECEIVED
Lobbyist Fee Expenditure and Compensation Statement
City Code Section 2-485
JAN 3 2022
r' of: D ZOO through
OFFICE CITY OF OF�T EnCITY I BEACH
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Expenditure report for the period / g
A statement shall be filed even if there ave 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 citycierk@miamibeachfl.gov.
Lobbyist USA I2-e 7wvi f �v r
Principal 1
Issue Gueja W c`LI'/1
PLEASE COMPLET THE SECTION BELOW
Detail Compensation Received:
CATEGORIES 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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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: 11.4''.;Y.n
. CARMEN B.HERNANDEZ
OATH %►_. MY COMMISSION 1 GG 2088T8
State of Florida, c c P,: EXPIRES:August 3,2022� ��->
Bonded Thiv Notify Pubes Undeiw
County of Miami-Dade '
I,the undersigned lobbyist do hereby depose under oath and affirm that the information dis ed herei nd ari. achment
hereto are true and correct.
Lobbyist ,a e
SIGNATURE AND STAMP OF NOTARY:
/Produced lD / - 6 (` q/0- D
Form of Identification Signature of Public Notary—State of Flori
_Personally known Sworn to and subs ribed before me
This day o l( 1.,20