FY 2024/2025 Annual Lobbyist Registration Form (2) MIAMI BEACH RECEIVEL`
City of Miami Beach
7700 Convenbon Cen�er Dnve ����T Q1 �Q�4
Miami Beach, Florida 33139
www.miamibeachfl.gov Cf1�Y UF MIAfJII BEAGI�+
City Clerk's OHice �FF�CE nc -�;F �;.;v�LeRv
Tel: 305-673-7411
Fax: 305-673-7254 �ce Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: ��SE K. FUENTES
Business Name: Becker& Poliakoff, P.A.
Address: 2525 Ponce de Leon Blvd., Suite 825, Coral Gables, FL 33134
Office Telephone Number: 305-260-1018
Cellular Telephone Number: 305-299-4900
Email Address: lfuentes@beckerlawyers.com
lf more than one lobbyist, please list:
�-�� Max Losner-Off: 305-260-1049 Cell: 305-878-2090 - mlosner@beckerlawyers com
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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.
Por City Clerk's Office Use Only
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Amount paid:71i d� Date pai� � �- �—/
Processed by;{�"1 Date:
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