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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Havana Ocean Ten LLC (Hector Hurtado) City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 lt�� FEB 11 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITY OF M�AM[ BEACH A statement shall be filed even if there have been no expenditures or compensation during the reporting OFFICE OF THE CITY CLERK 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 atcitvclerk@miamibeachfl.gov. Lobbyist ALFREDO GONZALEZ Principal Havana Ocean Ten LLC(Hector Hurtado) Issue Havana 57 at 940 Ocean Drive;CUP/COA PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 11OV`^'` CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment Research: Communications: [\ Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disci..ed - ein and any attachment hereto are true and correct. SIGNATURE AND STAMP OF NOTARY: " �L�byist Signature _Produced ID , ; ►aY°tie'••. JANET ROSILLO Form of Identification �' Notary Public-State of Florida ' y<_ 1 Signature of"u• 'ot:r —State of Florida 357 O oo-F. My Comm.Expires Jun4100,2025 ' Swor to and su 'bed before me Personally known This�Q day of ,��zo�,?j