Kent Harrison Robbins/Isser Elishis
8UG-2~-2006 13:15 From:
To: 14165043200
P.7/8
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City f Miami ~Gt).(j)f1J:\3 Qf,~~ gity Clerk
1700 Cony ntion Center Drive, Miami Beactl, FL 33139
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OBBYIST REGISTRATION FORM
ned, whether pald or not. by a principal who seeks to encourage the passage, defeat
" JL.3 3/3 (M.I)
(state) (Zip Code)
ok h,.o{he~J/$Ot1IL, ~ /
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(Otv)
( tel (Zip Code)
khrotbti. belbovlt~ he-I
EMAIL: (OptIonal)
tlon, Partnership or Trust [Sedlon 20.482 (e)J
. NAME OF O1IfF OffiCER, PAR
. IDENTIFY AlL PERSONS HOLDI , DIRECTl.Y OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP R TRUST:
~13~
B) Any Financial. Familial or ProfessIonal Relationship
AUG-2~-2006 13:15 From:
To: 14165043200
P.8/8
IV. DISCLOSURE OF Tf. AND AMOUNTS OF LOBBYIST COMPENSATI ~DlsctoSE WHETHER HOURLY,
FLATRA TE OR OTHER). · ) ~
^) llJIlllYlST DlSCI.OSUR" (....' 0) J ?If 5. 1)<" ~ ~
B} PRINCIPAL'S OISCLOSURE (OF l.; BeYIST COMPENs.:T10N): (Required). S} ~O/'
-
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2)
v.
ON OCTOBER 1ST OF EACH
S'rATEMENT UNDER OATH, USTlNG LOBBYING
RECEIVED, IN THE C1Y OF MIAMI BEACH FOR
SHALL Be FILED EVEN IF ERE HAVE BEEN N
RePORTlNG PERIOD.
I do solemnly swear that
familiar with the provision
requirements.
Signature of Lobbyist:
Signature of Principal/Oie .
ect and that I have read or am
ch Oty Code and all reporting
VI.
PRINCIPAL IDENllFlCATION:
Q Produced 10
o Produced 10
Form of Identification
, .
, I
o Personally known (Prindpal)
VII.
P OF NOTARY:
Sig ature of Public Notary - Stat
Notarlutlan af Lobbyist's stili
Sf!t.l' _f ~da, COUArt ~ ~iilmi I"\oade
Sworn and subscribed before me
This day of A~~"\ ,2006
.' ',*''JI:t... ANIUSHKA REIMONDEZ
.-fr~~
!*: :~ MY COMMISSION # 00 579049
~'" 5-q EXPIRES: July 30,2010
'~P.f.~~'- Bonded Thru Notary PublIc Underwriters
State of Florida, County of Mlaml-
Sworn to and subscribed befor
This ~~ day of
Annual Reljistration ree: (~es (
Lobbyist Registration Form received a
ReviSed 02110/04
fOR CLERK'S USE ONLY
) No Amol,!nt Paid ;2S CO MeR' .2Al-\~~ Date paid :25<:::tl
verified ~cu.<~ ~ .
. ER\ALL\MAPJA'M\LOBBYISl\LOBBYIST FORM 04 .
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
J.. <.J
MeR-Miscellaneous 287177 $25.00
Cl Cash D Credit Card ~heCk # -4 \M
Received of _~ C'\t \"tn,rn.sc\\ r~b,(:)'~
Address
For _l()\"'~.~} (5;\ - ,e~ ~--\("-ck--B::..(\
(THIS INFORMATION MUST BE COMPLETED)
287177
No.
$ .~.DO
M.~~"\ ... 20C::>fO
By
EXT~~\\
Finance Director
Account Number: on -~o . 3i.(}-\ ---4~
Preparer: C)\ \ ._?;:t'(', ~ ~\-AA4 Dept: C:i....~~\~
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