HomeMy Public PortalAboutNemes, Sarah - Registration Form - Orange Barrel MediaCITY OF
(A ORLANDO
LOBBYIST REGISTRATION FORM
(One Client Per Registration Form)
I. Lobbyist Information
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Name:
Mailing Address:
City: Di ld b State:
Email: Vt ,i'VLLS ® t 1'/
500- Vafq grolir (A) )14
II. Client/Principal Information
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Name: IAA Y1 9 li
Business: Mt d i 61
Business Address: 2,C0 N •
City: (`jp (0i14 b IBS State:
Is your client:
Corporation [?Cl Partnership [ ] Type:
Association [ ] 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 lst and August lst of each
calendar year of any lobbying expenditures involving the City during the preceding six month period
(January -June, July -December)
Phone:
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Zip:
Fax:
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Print Name
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Date