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Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Jamestown Premier 755 Washington LLC (Frances Bohn) City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form RECEIVED City Code Section 2-485 FEB 11 2022 Expenditure report for period of:1/1/2021 through 12/31/2021 CITY OF MIAMI BEACH A statement shall be filed even if there have been no expenditures or compensation duringthe reporting OFFICE OF THE CITY CLERK p p p g 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 citvclerk@miamibeachfl.gov. Lobbyist ALFREDO GONZALEZ • Principal Jamestown Premier 755 Washington LLC(Frances Bohn) Issue Renovation of exterior facade;743 Washington Ave/755 Washington Ave PLEASE COMPLETE THE SECTION BELOWDetail Compensation Received: 1101K\ CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: 0 cI -6 Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 dis s d h ein and any attachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: f :0i°.e4•. JANET ROSILLO I _Produced ID 4 ` �g 4�- Notary Public-State of Florida Form of Identification "asp's: Commission#HH 140357 A ,°i. My Comm.Expires Jun 10,2025 Signature P is Notar —State of Florida Swor;**to and suJ cfibed b fore me Personally known This V day of 0