CITY OF MIAMINOTICE OF WITHDRAWAL/COMPLETION OF LOBBYIST ISSUESLobbyist Signature MILast NameFirst NameLobbyist Name: Business Address ZipStateCity Business Phone: E-Mail Address Lobbyist InformationPrincipal and Issue Information Completed Withdrawn Principal Represented: Date Issue: Date Issue: Date Withdrawn CompletedPrincipal Represented: Completed Withdrawn Date Issue: Issue: Date Withdrawn CompletedPrincipal Represented: Completed Withdrawn Date Issue: Issue: Date Withdrawn Completed CC/LB/Rev.2011..Jul American LegalNet, Inc. www.FormsWorkFlow.com