Notice Of Withdrawal Of Lobbyist Registration
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Notice Of Withdrawal Of Lobbyist Registration Form. This is a Florida form and can be use in Miami-Dade Local County.
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Tags: Notice Of Withdrawal Of Lobbyist Registration, Florida Local County, Miami-Dade
MIAMI-DADE COUNTY
NOTICE OF WITHDRAWAL OF LOBBYIST
REGISTRATION
Section 2-11.1(s) - Code of Miami-Dade County, Florida
Please Type or Print in Ink
Note: On or before July 1st of each year, every lobbyist must file an expenditure statement with the Clerk of the Board
of County Commissioners for the preceding calendar year, regardless of the level of activity of the lobbyist, and
whether or not the lobbyist has incurred any expenses during the reporting period.
Lobbyist Name:
Mr/Ms Last Name
First Name
Mi.
Business/Firm Name
Address
____________________________________
________________________
_____________
City
State
Zip
____________________________________
________________________
_____________
City
State
Zip
Principal Represented:
Business/Firm Name
Address
Date Representation Ended: __________________________________________________________
Subject Matter:
___________________________________________________________________________________
__________________________________________________________________________________
Signature of Lobbyist _____________________________________
Date: _____/_____/_____
For Office Use Only:
Data Entry Date ___________________________, 20_______.
Entered By _________________________________________________________
(Form Revision Date: 8\18\05)
Clerk of the Board of County Commissioners, 111 NW First Street, Suite 17-202, Miami, FL 33128
Office: 305 375-5137 - Fax 305 375-2484
www.miami-dadeclerk.com/dadecoc/Clerk_Board.asp
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