Biennial Lobb. Reg, 10/04/00 CITY OF MIAAII BEACH
BIENNIAL
LOBBYIST REGISTRATION
DATE RE GISTERED ~____~~
LAST NAME, ~RST ' M
(IF DIFFERENT FROM ABOVE)
I DO SOLEMNLY SWEAR THAT ALL FACTS CONTAINED IN THIS BIENNIAL RE G1STRA TION
REPORT ARE TRUE AND CORRECT,, AND THAT I HA VE READ AND AM' FAMILIAR WITH THE
PROVISIONS OF MIAMI BEACH/ORDINANCE 92-278,,e, ~ ~D THE LOBBYIST REGISTRATION,
~NATURE OF LOBBYIST
STATE OF FLORIDA, COUNTY OF DADE
SWORN TO ~D SUBSCRIBED BEFORE ~q~~OR DE U~
ff~DAY OF . ~9'(~) ' '
BIENNIAL REGISTRATION FEE $12S. 00 PAID $
PAYABLE ON EACH EVEN-NUMBERED
YEARS DATE
BLRFORMI.DOC