Donald Papy $86
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FORM 9
QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
NAME OF AGENCY:
CITY OF MIAMI BEACH
OFFICE OR POSITION HELD:
CHIEF .DEPUTY CITY ATTORNEY
FOR QUARTER ENDING <<ch.eck One):
a MARCH a JUNE }U SEPTEMBER
COUNTY:
DADE
PART A - STATEMENT OF GIFTS
YEAR.
a DECEMBER :;.0 2tn "\
I lAST NAME - FIRST NAME MIDDLE NAME:
PAPY DONALD M.
MAILING ADDRESS:
1700 CONVENTION CENTER DRIVE
CITY: ZIP:
Miami Beach, FL 33139
Please list below each gift. the value of which you believe to exceed $100, accepted by you during the calendar quarter for
which this statement is being filed. You are required to describe the gift and state the monetary value of the gift. the name
and address of the person making the gift, and the date{s) the gift was received. If any of these facts. other than the gift
description, are unknown or not applicable, you should so state on the form. As explained more fully in the instructions on
the reverse side of the form, you are not required to disclose gifts from relatives or certain 9ther gifts. You are not required to
file this statement for any calendar year quarter during which you did not receive a reportable gift. (Required by Section
112.3148, Florida Statutes).
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
PLEASE SEE Al ACHED
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o CHECK HERE IF CONT1NUED ON SEPARATE SHEET
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PART B - RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by !he person making the gift, you are required to attach a copy of that receipt 10 this form. You may
attach an explanation of any differences between the information disclosed on this form and the information on the receipt
o CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PART C - OATH
i; I, the person whose name appears at the
II .
beginning of this form, do depose on oath or
affirmation and say that the information dis-
closed herein and on any attachments made
I by me constitutes a true, accurate, and total
listing of all gifts required to be reported by
Sedon 112.3148. Florida Statutes.
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SIGNATURE OF REPORTING OFFICIAL /
STATE OF FLORIDA ' "7) (.." ,)
COUNTY OF rnit}rYJI- a{~
Sworn 10 (or affirmed) and subscnbed ore me thiS
day of C}f.:m&e'l-
Dr. yyt ( rI V}7. -f-J{'f i
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U~f<.,(.l)J- O--X~~) ~~
(Signature of Notary Public-State of Florida)
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Personally Known
(:ommINIon # DO 362911
IondedIvNalonal NotaryMn.
Type of Identification Produced
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Date Description Monetary Name of person making Address of person
Rec. of gift Value making the gift making the gift
9/17 International City of Miami Beach 1700 Convention
Ballet Festival $86.00 " Miami Beach, FL 33139