HomeMy WebLinkAboutMatthew Cohen - 2120 Lucerne Holdings LLC (Richard Tester)Docusign Envelope ID: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
MIAMI BEACH Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
305.673.7411
lobbyists@miamibeachfl.gov
LOBBYIST REGISTRATION FORM
RECEIVED
DEC O 4 2025
CITY or ~JIAMI BEACH
OFFICE OF THE CITY CLERK
This form is required under Chapter 2, Article VII, Division 3 of the City Code for individuals who engage in lobbying activities
before the City of Miami Beach.
Pursuant to City Code Section 2-481, a "lobbyist" means any person employed, retained, or designated, whether paid or
not, by a principal who seeks to encourage the passage, defeat, or modification of any ordinance, resolution , action, or
decision of any Commissioner; any action , decision, or recommendation of the City Manager or any City board or committee;
or any action, decision, or recommi3ndation of any City personnel1 during the time period of the entire decision-making
process on such action, decision, or recommendation that foreseeably will be heard or reviewed by the City Commission,
or a City board or committee. The 1erm specifically includes the principal as well as any employee engaged in lobbying
activities. The term "lobbyist" specifically excludes the following persons: expert witnesses who provide only scientific,
technical, or other specialized information or testimony in public meetings; any person who only appears as a representative
of a neighborhood or homeowner a~sociation without compensation or reimbursement for the appearance, whether direct,
indirect, or contingent, solely to express support of or opposition to any item; and any person who only appears as a
representative of a not-for-profit ccmmunity-based organization for the purpose of requesting a grant, without special
compensation or reimbursement for the appearance. Any person excluded from the definition of lobbyist under Section 2-
481 is not required to register as a lobbyist but must complete and submit a written disclosure form for each issue on which
they appear, identifying their name, address, and the principal on whose behalf they are communicating, as required by
Section 2-483(b) of the City Code.
Note: A separate form titled "Neighborhood/Homeowner Association Representative Registration Form" is available from
the Office of the City Clerk for representatives of neighborhood or homeowner associations. Other individuals excluded from
the definition of lobbyist under Section 2-481 may utilize this form and complete the relevant sections.
Instructions: Please complete all sections of this form and submit the completed form, with the applicable fee, to the Office
of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to
report in a particular section, you must write "none" or "n/a" in that section . Any change to any information originally filed , or
any additional City Commissioner or personnel who are also sought to be lobbied, shall require that the lobbyist file an
amendment to the registration form. The lobbyist has a continuing duty to provide information and amend the forms filed
throughout the period during which lobbying occurs. A separate registration form must be submitted for each principal
represented and for each specific issue on which the lobbyist is engaged.
Lobbyist Registration Fees: Pursuant to Section 2-482 of the City Code, a registration fee of $350.00 per issue is required
at the time of filing this form. In addition, an annual registration fee of $500.00 is required for each 12-month period
commencing October 1 of each year. These fees must be submitted to the Office of the City Clerk along with the completed
registration form. However, a principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf
of that entity, without special compensation or reimbursement for the appearance, is not required to pay registration fees.
No fee is required for filing a notice of withdrawal. The City Commission may, in its discretion, waive the registration fee
upon a finding of financial hardship.
Public Records Notice and Address Disclosure: Forms filed with the Office of the City Clerk are public records under
Florida law. If your home address is exempt from disclosure or if you prefer it not be made public, you may provide an office
or alternate mailing address instead. Florida Statutes Section 119.071(4)(d) provides public records exemptions for certain
individuals and their families. If you believe you qualify, please consult the statute or contact the Office of the City Clerk for
guidance.
1 City personnel include advisory personnel, autonomous personnel, departmental personnel, and quasi-judicial personnel.
Departmental personnel means the city manager, all assistant city managers, all department heads, all assistant and deputy
department heads, employees of the police department with the rank of captain, major or chief, building and zoning
inspectors, the city attorney, chief deputy city attorney and all assistant city attorneys; however, all departmental personnel
when acting in connection with administrative hearings, and any employee of a city department or division with the authority
to participate in procurement matters, when the communication involves such procurement, shall not be included for
purposes of this division.
Page 1 of 7
Docusign Envelope ID: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
I. LOBBYIST INFORMATION:
Cohen
NAME OF LOBBYIST
STRANG
(Last)
LOBBYIST BUSINESS NAME AND ADDRESS
305-373-4990
Matthew
(First)
2900 SW 28 Terrace, 3rd Floor
(Number and Street)
t,J.
(Middle Name)
Coconut Grove Florida
(City) (State)
33133
(Zip Code)
matthew@strang.design
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
11. PRINCIPAL INFORMATION:
Tester Richard
NAME OF PRINCIPAL (Last} (First) (Middle Name}
2120 Lucerne Holdings LLC 919 N Market Street Wilmington Delaware 19801
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (Slate) (Zip Code)
(305) 903-7573 richardtester1@gmail.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City Code Section 2-482(h)(1 )(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on
behalf of that entity, without special compensation or reimbursement for the appearance, whether direct, indirect, or contingent, to
express support of or opposition to an item shall register with the Clerk as required by this subsection ·but shall not be required to pay
any registration fees.
If the principal is a Corporation, Partnership, or Trust, the following information MUST be provided
pursuant to City Code Section 2-482{c):
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (if none, write N/A}: _R_._T_e_s_te_r ______ _
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST (if none, write N/A): Please see the attached,
Ill. ISSUE TO BE LOBBIED:
Describe the specific matter you are lobbying on. Include as much detail as possible, such as the title
or subject of the item, relevant ordinance or resolution numbers, RFP or 1TB numbers, or the date and
topic of any public hearing, if applicable.
Development Approvals & Permitting Issues, including but not limited to the Historic Preservation
Board, Design Review Board, Planning Board, Board of Adjust'!1ent, Land Use Development, City
Commission, and any City Workshops or Committees, if necessary, relating to the property
located at 2120 Lucerne Avenue in Miami Beach, Florida.
Page 2 of7
Docusign Envelope ID: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
IV. DISCLOSURE OF CONSIDERATION PROVIDED BY LOBBYISTS TO NEIGHBORHOOD OR
HOMEOWNER ASSOCIATIONS:
Pursuant to City Code Section 2-482{k), any lobbyist who provides, directly or indirectly, consideration,
whether monetary or nonwmonetary, of $1 1000 or more to a neighborhood or homeowner association or
its designee, for purposes of supporting or withholding its objection concerning a matter before the City
Commission, or any City board, or committee must disclose such consideration.
l:Jvesl:;INo: Have you provided, directly or indirectly, any consideration, monetary or nonwmonetary, of
$1,000 or more to a neighborhood or homeowner association or its designee, in connection
with the matter for which you are lobbying?
If yes, please describe:
V. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482{a){4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
Staff for the Planning & Building Department None D 0
Public Works & City Administration, PB, HPB, BOA None □ 0
ORB, City Commission, and Mayor as necessary None □ 0
Land Use & Sustainability Committee None □ ~
□ 0
□ 0
Pursuant to City Code Section 2-482{g), every registrant shall be required to state the extent of any
business, financial, familial, or professional relationship, or other relationship giving rise to an
appearance of impropriety, with any current City Commissioner or City personnel who is sought to be
lobbied, as identified on the lobbyist registration form filed.
List any business, financial, familial, or professional relationship, or other relationship giving rise to an
aooearance of imoroprietv (if none, write N/A):
N/A
Page 3 of 7
Docusign Envelope ID: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
VI. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION -BE SPECIFIC.
Contingency fees are strictly prohibited under Section 2-485.3 of the City Code. This
prohibition applies to all lobbyists and to individlllals excluded from the definition of
lobbyist under Section 2-481. If compensation is not monetary, describe the form of
consideration (e.g., services, goods, etc.).
$ ioc>.oo per hour
The following six (6) questions MUST be answered:
1) Pursuant to City Code Section 2-488, entitled "Prohibited Campaign Contributions By lobbyists On Procurement Issues•:
□Yes!!!! No: Are you lobbying on a present or pending bid for goods, equipment, or services, or on a present or
pending award for goods. equipment. or services?
2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
□ Yes !!!! No: Are you lobbying on a pending application for a Development Agreement with the City or an
application for a change of zoning map designation or a change to the City's Future Land Use Map?
3} Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section
2-481) who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbursement for the appearance, whether direct or indirect, to express support of or opposition to any item, shall register with
the City Clerk as required by this section, but shall not be required to pay any registration fees.
□Yes !!!!No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
Note: If you are exempt from the definition o'f lobbyist under Section 2-481 and are required to submit a written
disclosure pursuant to Section 2-483(b), representatives of neighborhood or homeowner associations should
use the "Neighborhood/Homeowner Association Representative Registration Form." Other exempt individuals
may utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the
applicable sections.
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific, technical, or other specialized Information or testimony in public meetings; any person who only appears
as a representative of a neighborhood or homeowner association without compensation or reimbursement for the appearance,
whether direct, indirect, or contingent, solely to express support of or opposition to any item; and any person who only appears
as a representative of a not-for-profit community-based organization for the purpose of requesting a grant, without special
compensation or reimbursement for the appearance. Individuals who qualify for these exclusions are still required to submit
a written disclosure fonn for each appearance, as required by Section 2-483(b) of the City Code.
□Yes!!!! No: Do you qualify for one of the exclusions listed above under Section 2-481?
If yes, please check the applicable category:
□ Expert witness providing only scientific, technical, or other specialized information or testimony in a public
meeting.
□ Representative of a not-for-profit community-based organization requesting a grant without compensation
or reimbursement.
□ Representative of a neighborhood or homeowner association appearing without compensation or
reimbursement.
Note: Representatives of neighborhood or homeowner associations should use the
"Neighborhood/Homeowner Association Representative Registration Form." Other exempt individuals may
utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the applicable
sections.
Page4 of 7
Docusign Envelope ID: 9EBADFC9-2433-47 A2-869F-2E6EA4E694EC
5) Pursuant to Ci ty Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services
with in the past election cycle. See Section 2-491 for more information .
6)
D Yes ■ No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes, please list the incumbent member(s) of the City Commission:
D Yes D No: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consulting services was sworn in?
Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service
before lobbying the City Commission at a public meeting.
D Yes ■ No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes, please list the incumbent member(s) of the City Commission:
D Yes !!!!I No: If yes, were you promised or did you receive economic consideration in exchange for campaign
consulting services? If yes, please describe the nature and amount of any economic consideration
received or promised in exchange for campaign consulting services.
A IMPORTANT -Annual Requirements for Registered Lobbyists: As a reg istered lobbyist, I acknowledge and agree to
the following yearly obligations. An annual registration fee of $500.00 must be paid by October 1 of each fiscal year to
maintain my lobbyist status active. A new issue registration fee of $350.00 is due when submitting any new issue reg istration
and is a one-time fee per issue. Additionally, I am required to file an Expenditure and Compensation Form annually by
February 28 , which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying
activities for a specific issue have ended, I need to submit a Notice of Withdrawal using the same Expenditure and
Compensation Form. All forms should be sent either via email to Lobbyists@miamibeachfl.gov or mailed to the Office of
the City Clerk at 1700 Convention Center Drive, Miami Beach, FL 33139.
Signature of Lobbyist Date ________________ _
I do solemnly swear or affirm that all of the foregoing facts , statements, and disclosures in this form are true and
correct, and that I have read and am familiar with the provisions contained in Chapter 2, Article VII, Division 3,
entitled "Lobbyists," of the Miami Beach City Code, including all applicable registration and reporting
requirements.
I understand that violations of the City's lobbying ordinance are subject to enforcement by the Miami-Dade County
Commission on Ethics and Public Trust and may resu lt in admonition, fines, public reprimands, prohibitions from
registering as a lobbyist or engaging in lobbying activities by the City, debarment, or the voiding of contracts.
I further affirm that I am not receiving any compensation or reimbursement in violation of the City Code, and that I
am not engaged in any prohibited contingency fee arrangement.
Signature of Lobbyist:
Matthew Cohen Printed Name of Lobbyist: GSlgned by:
Signature of Principal: yck)., tt.sft.r
5B2233531 F5A425 ...
Printed Name of Principal:._R_i_c_h_a_rd_T_e_s_te_r __________ _
Page 5 of 7
Date. ________________ _
Date ____ 1_0_11_s_12_0_2_s ________ _
5) Pursuantto City C:ode Section 2-491(1), no l'.:<!mpaign consultant shall lobby the. City Commission for a period of 12 months
following the swearing in of. any elected ·oflicia'l(s) for whom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2°491 for more lnronnation,
6)
D Yes ■ No: Have you proyldod campaign consultlng services to an Incumbent member of tho City Commission
within the past election cycle? If yes, please 11st tho Incumbent mombor(s) of tho City Commission:
□ Yes D'No: If yes. has It been loss than 12 months since the elected offlclal(s) whom you provided campaign
consulting services was sworn In?
Purs_uanl to City Code Section 2-482(a)(4)a., ·a lobbyist who has within the past election cycle provided campaign consulting
services to an lnC1Jmbent member of the City Commission (which lobbying activity Is not otheiwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service
before lobbying the City Commission at a public meeting.
□ Yes ■ No: Have you provided campaign con suiting services to an Incumbent member of the City Commission
within the past election cycle? If yes, please list the Incumbent member{s) of the City Commission:
□ Yes ■No: If yes, were you promised or did you receive economic consideration In exchange for campaign
consulting· services? If yes. please describe the nature and amount of any economic consideration
received or promised in exchange for campaign consulting services.
A IMPORT ANT ~ Annual Requirements for Registered Lobbyists: As a registered lobbyist, f acknowledge and agree to
the following yearly obligations. An annual registration fee of $500.00 must be paid by October 1 of each fiscal year to
maintain my lobbyist status active. A new issue registration fee of $350.00 is due when submitting any new issue registration
and is a one~time fee per issue; Additionally, I am required to file an Expenditure and Compensation Form annually by
February 28, which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying
activities for a -specific issue nave ended; I need to submit a Notice of Withdrawal using the same Expenditure and
Compensation Form. All forins should be sent either via email to Lobbyists@miamibeachfl.gov or mailed to the Office of
the City Clerk.. at 1700 Co!Ji'tti n ~enter Drive. Miami Beach, FL 33139.
Sfgoature of Lobbyist: _'.;;......;: W\_.......;:;..-=-"....:;...-------Date___.f_{J'"'-/_5-'-/_/_~_S-______ _
I do solemnly-swear or affinn that all of the foregoing facts, statements, and disclosures in this form are true and
corr.act, and that I have read and am famlltar with the provisions contained In Chapter 2, Article VII, Division 3,
entitled "Lobbyists," of the Miami Beach City Code, Including all applicable registration and reporting
requirements.
I understand that vjolations of the City's lobbying ordinance are subject to enforcement by the Miami-Dade County
Commission on Ethics and Public Trust and may result In admonition, fines, publlc reprimands, prohibitions from
registering as a lobbyist or engaging Jn lobbying activities by the City, debarment, or the voiding of contracts.
I further affinn that Jam not receiving any compensation or reimbursement in violation of the City Code, and that I
am not engaged In any pr ibi _d contingency fee arrangement.
Sign·ature of Lobbyist: Date \Of 1,t/~ ;
I
Printed Name of Lobbyist: _M_a_tt_h_e_w_C_o_h_e_n-'----------
Signature of Principal: Date. ______________ _
Printed Name of Principal:_R_ic_h_a_r_d_T_e_s_te_r _________ _
Page 5of7
/
Docusign Envelope ID: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
VIII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:
State of Florida ----------
County of: Miami-Dade
Sworn to (or affir ed) and subscribed before me,
by means of hysical presence
or D ?~~ notarization.
this~ I day of. October • 20~5
Matthew Cohen
NAME OF LOBBYIST
OF IDENTIFICATION
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL)
PRINCIPAL:
State of Florida ------------
County of: Miami-Dade
Sworn to (or affirmed) and subscribed before me,
by means of □ physical presence
or I!!!! online notarization,
this 15 1 of _ October ·2025
..l. -·,,
Richard Tester
NAME OF PRINCIPAL
Produced ID _________ _
FORM OF IDENTIFICATION
.JLPersonally Known [::;'""'""
s;gnatu,e of Nota,y Pub1;C ~-···
Diana Ramos
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) DIANA RAMOS
NOTARY PUBLIC
STATE OF FLORIDA
Commission #HH386927
My Commission Expires 4/16/2027
ONLINE NOTARY
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [X) Yes [ ] No Amount Paid S ~5ol ".O MCR # {, '3>b.le>l., Date Paid \2,_ / ~ ' 2o'2.)
Lobbyist Registration Form received and verified by: -~U~-f~A_Nl-Z __ • _,...,,_, _______ _
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\lobbyist Registration Form REG KM RB DM NK REVISED OCTOBER 1 2025.docx
Revised: October 1, 2025
Page 6 of 7
Ml AMI BEAC.H
Ctly ol,Mlaml Beach, 1700 Convention Center Drive, Mioml Beach, Florido 33139, www.miarnlbeochfl.gov
Office of th_e City Clerk
Rafael E. Granado, City .Clerk
Tel: ~5.673.7411 •
NAME OF LOBBYIST: Matlhew Cohen
Ci!yClerk@rriiam1beachfl.aov
----------------------
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to C.ity Code Section 2-485(d), the City Clerk shall notify any lobbyist(or principal)
who falls to :file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in Section
2-485.1, a fine of $50.00 a. day shall be -assessed for Statements filed after the due date.
The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust
of the failure. ·of a ·Iobbyist (or prir_1cipal) to file the Statement or pay the assessed fines after
notification.
Any lobbyist who fails to file the required Statement by April 30th of each year shall be
automatically ·suspend_ei;:I from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
I hereofackr1owledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the precedif1g calendar year With regard to the specific issue on Which I have
been engaged to lobby.
2} LOBBYIST WITHDRAWAL
Once an. issue I have registered to lobby has conclµded or I am no longer lobbying on that
issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3): ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration .of all lobbyists shall be required for each 12~month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
~ \61 ~, n-,;-
Signatu~st Date
FclCLERISAU\aFORM$U.OBBYIST FORl.1$\1.obbylst Regislta!lon Fom, REG KM Ra OM NK REVISED OCTOBER 1 2025.doci(
Page 7 of7
Docusign Envelope !D: 9EBADFC9-2433-47A2-869F-2E6EA4E694EC
Page6 ofB
DISCLOSURE OF INTEREST
CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY
lf the property that is the subject of the application is owned or leased by a corporation, partnership or limited liability
company, list ALL of the owners, shareholders, partners, managers and/or members, and the percentage of ownership held
by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the
applicant .shall further disclose the identity of the individua!(s) {natural persons) having the ultimate ownership interest in the
entity.
2120 Lucerne Holdings LLC
NAME OF CORPORATE ENTITY
NAME AND ADDRESS
Richard Tester, 1617 W 2nd Street, Miami Beach, 33140
Kirsten Tester, 1617 W 2nd Street, Miami Beach, 33140
NAME OF CORPORATE ENTITY
NAME AND ADDRESS
% OF OWNERSHIP
50%
50%
% OF OWNERSHIP
If there are additional corporate owners, list such owners, including corporate name and the name, address and percentage
of ownership of each additional owner, on a separate page.
We ore commil!ed lo providing excellenf public service and safely to oil who live, work, and ploy in our vibronl, lropico/, hisloric community,
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BERCOW,·RADELL,.FERNANDEZ, LARKIN, & TAPANES PLLC
; . . , IOTATRUST ACCOUNT ~ •
.,, 200 SOUlH BISCAYNE BOULEVARD, SUITE 300 • MIAMI, FLORIDA 33131 •
PAYTO.THE
ORDER'OF ¢ify of Miami Beach • • ' X
FIRST HORIZON
2~-2/840
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','AtmlORlZED SIGNAT\lflE •
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
City of Miami Beach
Miscellaneous -MCR -2026
0084 41.-0011 Car:men V ... 12/04/2025 09 : 58}..M
MCR OPEN (MCR)
Payment Amount: $850.00
No. 436204
Office of Finance Director
(THIS INFORMATION MUST BE COMPLETED) By _________ _
EXT: __ _
City of Miami Beach
Customer Service Center
1755 Herdi an AVe 0Suite 100
Miam1 Beach, FL 33139
305-673-7420
Welcome
12/04/2025 09:58AM Carmen V.
008441-0011
MISCELLANEOUS
MCR OPEN (MCR)
Reference 1: MCR436204
2026 MCR
1@ $850.00 $850.00
$850.00
Subtotal $850.00
Total $850.00
CHECK $850.00
Check Number000270
Change due $0.00
Pa 1 d by: BERCOli RADELL FERNANDEZ LARKIN &
TAPANES PLLC
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Thank you for your payment
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