FY 2024/2025 Annual Lobbyist Registration Form , � n' n� n �� q i � � � r �
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City of Miami Beach SEP 1
1700 Convention Center Drive � Z�Z4
Miami Beach, Florida 33139
www.miamibeachfl.gov CRY OF MIAMI BEACH
City Clerk's Office oFFi�F�r THE Ciry C�eRK
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: iessica Feuiandez
Business Name: t,rnw, c'aarle and �rc Aff"I�� r �
Address: 3470 NW 82nd Aven it 1000 Doral F 9'�1
O�ce Telephone Number. (3051 78�-5489
Cellular Telephone Number:
Email Address: �essica.Fernandezncrowncasde com
Ifmore than one lobbyist p/ease list:
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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.
For City Clerk's Office Use Only
MCR#: /�37 / S
Amount paid: �s�� Date paid: � � � �
Processed by: �/`1 Date: �
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