Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2012/2013
Clerk to the Board, Minutes &Records Dept. Expires ` 2-0i3 3299 Tamiami Trail East, Suite #401 (Staff use o y) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Jeffrey D. Kottkamp Date 4-10-13 Business Address 2618 Centennial Place Tallahassee, FL 32308 Business Telephone 850-222-0720 E-Mail jkottkamp@lawfla.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). FTTE, LLC 23190 Fashion Dr., #205 Estero, FL 33928 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) ,obbyist Si_ ature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this ZS day of Nei-;l , by J -c 11 /t }�'!�u-�-� ,who isVersonallymown me or has produced —_ ------v as identification and who did take an oath. ‘,4y1,:*; ;;., TANYA K.WEISS Commission#EE 012150 ,, - Expires August 16,201&,, %,3;.............. Bonded Thru Troy Fain Insurance 800-386-ID 74 Zit ,�r Deputy • erk/Notary Public The annual registration fee is$25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and mail to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (at the address listed at the top of the form). Receipt# 007337965 5/7/2013 9:48:08 AM ,`"\%R-(0e, Dwight E. Brock Clerk of the Circuit Court o o — ) o _19)ER rtrttgc` Customer Deputy Clerk Clerk Office Location JEFFREY D. KOTTKAMP BMR CASHIER Collier County Govt. Center MESSER CAPARELLO & MinutesandRecords @CollierClerk.co Building F, 4th Floor SELF, P.A. m 3299 Tamiami Trail East, Suite 2618 CENTENNIAL PLACE 239-252-2646 401 TALLAHASSEE, FL 32308 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check#28083 ($25.00) BALANCE DUE $0.00 Note: Disclaimer:All transactions are subject to review/verification.The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. 0000n@ Q@ ©®Dj] Page 1 of 1