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HomeMy Public PortalAboutMcNichols, Troy - Registration - AT&TCity of Orlando Lobbyist Registration Form one client per form) 1. LOBBYIST INFORMATION L. i' 6 Name:O . pi c Ai/ l /i 4; i ,20 % S 1 Mailing address: /01 / J O ''e5V! /r/k f f y 4 %, D City: (.)11 //Al a6 State: F6— Zip: Email: f,4' %/ 3 k e a/ l• co '/,. 7<). Li / / y q 36/ 4,/nPhone: Fax: II. CLIENT/PRINCIPAL INFORMATION Name: Business: S‘'` Business address: 3" e U S r^ -L. S , City: ` r .' State: Zip: Is the client a: Corporation Association Partnership Type: Trust Name: III. SIGNATURE VERIFICATION I hereby certify that the above expenditure information has been reported in a complete and accurate mannei Signature of lobb 7/:// -*-7 cr.-2 4z! </ c Printed nam Date: