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2013/2014 Clerk to the Board, Minutes & Records Dept. Expires -1 lrtJ 141 3299 Tamiami Trail East, Suite#401 (Staff use on,y) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Kathleen Oppenheimer Berkey, Esq. , AICP Date 09-26-2013 Business Address Pavese Law Firm, Post Office Drawer 1507 Fort Myers, FL 33902-1507 Business Telephone 239-336-6280 E-Mail kathleenberkey @paveselaw.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). ULI Southwest Florida 12355 Collier Blvd. , Suite B Naples, FL 34116 2). (PLEASE ATTACH ADDITIONAL SHEETS, IF NECESSARY) A 4 it" 4. 4, Lobbyist Signature State of Florida er County of Collier t�� The foregoing registration was s orn to and subscribed before me on this .. day of </je t- .7.4 , by . ,,, ..,. , who is perso kne n to me or has producL1 , •" ntiVcat en . d who did take an oath. ak• ■ A 40034‘ Notary Public State of Florida Sandra H Smith -.,,r cy otary Public My CommF y a . Expires 06ission/27/201F7 006313 The annual • • , -; • • I ! • • °byist, according to Collier County Ordinance No. 2003-53, as amended sy Or tnance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. Receipt# 007381787 9/30/2013 2:57:25 PM r` Dwi, L{ ght E. Brock .- Clerk of the Circuit Court f�F fttt 7}�C'� O gv-c-- - @ TR Customer Deputy Clerk Clerk Office Location STEVEN HARSELL & BMR CASHIER Collier County Govt. Center KATHLEEN OPPENHEIMER- MinutesandRecords @CollierClerk.co Building F, 4th Floor BERKEY m 3299 Tamiami Trail East, Suite PAVESE LAW FIRM 239-252-2646 401 PO BOX 1501 P.O. Box 413044 FORT MYERS, FL 33902-1501 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check# 123456 _ ($50.00) 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. ©CA Url ° 0® ❑@C i Page 1 of 1