HomeMy WebLinkAboutFY 2024 2025 David M. Buckner Annual RegistrationMIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach,Florida 33139
www.miamibeachfl.gov
City Clerk's Office
Tel:305-673-7411
Fax:305-673-7254
RECEIVED
SEP 26 2024
C ITY OF M IAM I BEA CH
OFFICE OF THE CITY CLERK
Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
David Marc BucknerName:_
Buckner and M iles,PAbys]fess amp?e;
Aaaress:ms"co"·"
305-964-8003OfficeTelephoneNumber:_
786-303-3447CellularTelephoneNumber:_
Email Address:."@"""""e
If m o re than on e lob b yist,p lease list:
1)_
2)_
3)_
4)_
5)_
6)_
7)_
Submit this fo rm to the Office of the City Clerk,along w ith a check for $500 for each
lobbyist.Please m ake the check(s)payable to the City of Miam i Beach.
For City Clerk's Office Use Only
a+33956
Amount paid:1':sS;::x:)•e:,o
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F:ICLER\$ALL\aFORMS\LOBBYIST FORMSIANNUAL LOBBYIST REGISTRATION FORM reg.docx
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Date:-----------
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH No.433955
-1DJCash[J Credit card ECheck #__L 2
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$.I-..>'-
Received of.___o_I log_A_re
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City of Miam i Beach
Miscellaneous -MCR -2024
007356-0011 Carmen V...09/26/2024 12.57PM
MCR OPEN (MCR)
Payment Anount:500.00
{THIS INFORMATION MUST BE COMPLETED)
Office of Finance Director
By _
r--.i ,-./I ·/--r ••"i ._"'l .,.\,,~--Account number:_ii y 44/'_-"s}0°.23-
M.]Preparer;'s Dept:i EXT:_[]