HomeMy Public PortalAboutSmith, Jean Van - Registration - Florida HospitalI. Lobbyist Information:
Name:
City of Orlando
Lobbyist Registration From
(One Client Per Registration Form)
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Mailing Address: 4-5 20 I Uor1 1 � y? rcJ' e, )
City C)CIN-Yin State? L Zip
Email: }c ,ye:rflyirline Phone:(i 30- -2 SC> Fax:
11. Client/Principal Information
Name:Hbyk 1IOcpi+6l
Business: 4,6 t4 -h Co -e
Business Address: 252 ,X?IO N' ekeriue) ` 1 266
City6 O State: Vi Zip: ,32gOt/
Is your client:
Corporation
Association [ ]
Partnership [ ] Type:
Trust [ ] Name:
To the best of my knowledge, the above information is correct. I understand that pursuant to
City Code sec. 2.191(4), I am required to file an expenditure report on February 1st and August
1st of each calendar year of any lobbying expenditures involving the City during the preceding
six month period (January -June, July -December)__.._.._
Signature
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Date