2011/2012Collier County Clerk of Courts
3299 Tamiami Trail E.
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
Expires 1 bold-
(CIJk'S office only)
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
\ol:lLJ J II
, I
Date
Name
THOMAS M. TAYLOR
Business Name
HOLE MONTES, INC.
Business Address 950 ENCORE WAY
City
NAPLES
State
FL
Zip Code
34110
Business Telephone 239-254-2000
Contact Person
Lobbyist E-mail
tomtaylor@hmeng.com
Notice for Lobbvists: The annual registration fee is $25.00 oer Lobbvist, per Collier County
Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24.
Payments made out to: Collier County Clerk of Courts or Dwie:ht E. Brock, Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: (See Attached List)
1. Name
2. Name
Address
Address
City
Zip Code
City
Zip Code
3. Name
4. Name
Address
Address
City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS, IF NECESSARY)
City
Zip Code
~A)~
Lobbyist Signature
Thi~ registration was sworn (or affirmed) and subscribed before me this 8~ day of,
D::-~~r , 20 -1L, by~NY\US M:-r- ~\ve- .
~ Personally Known
Produced ID
Type of ID Produced
State of Florida
County of Collier
Revised: 08/2011
Receipt# 007199023
11/1/201111:17:36AM
Dwight E. Brock
Clerk of the Circuit Court
(Q)wo@o@nIJ ~@@@D~U
Customer
THOMAS M. TAYLOR
HOLE MONTES, INC.
950 ENCORE WAY
NAPLES, FL 34110-9176
Deputv Clerk
BMR CASHIER
M i nutesand Records@CollierClerk.co
m
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3299 Tamiami Trail East, Suite
401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 47282
BALANCE DUE
AMOUNT
$25.00
$25.00
($25.00)
$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.
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Page 1 of 1
HM
HOLE MONTES
ENGINEERS, PLANNERS. SURVEYORS
LETTER OF TRANSMITTAL
950 Encore Way
Naples, Florida 34110
(239) 254.2000 Fax: (239) 254.2097
To: Collier County Clerk of Court
Minutes & Records Department
3299 Tamiami Trail East Suite 401
Naples FL 34112
I Date:
Job No:
I October 26, 2011
8200
Re: Board of County Commissioners
Lobbyist Registration
Via: C8J U.S. Mail
D Courier
D Federal Express D UPS
D Other Hand Deliver
We are sending the following items:
C8J Attached
D Under Separate Cover
D Shop drawings
D Copy of Letter
D Prints
D Change Order
D Plans D Samples
C8J Other: See Below
D Specifications
COPIES DATE NO. DESCRIPTION
1 Lobbyist Registration form
THESE ARE TRANSMITTED AS CHECKED BELOW:
D For Approval D Approved as Submitted
C8J For Your Use D Approved as Noted
D As Requested D Returned for Corrections
D For Review & Comment D For Bids Due
D Prints Retumed After Loan To Us D Other:
D Copies for Approval
D Copies for Distribution
D Corrected Prints
I Comments:
Copy To:
From: Deb Hogue