2013/2014 Clerk to the Board, Minutes &Records Dept. Expires �t_l
3299 Tamiami Trail East, Suite #401 (Staff use onl
Building F, 4th Floor
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NameAndrew I. Solis Date 04/02/2014
Business Address Cohen & Grigsby, P.C.
9110 Strada Place, Suite 6200, Naples, FL 34108
Business Telephone 239-390-1900 E-Mail aSOIIS p�COhenIaW.COm
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) Mark S. Bell, as Trustee of the Mark S. Bell Revocable Trust UTD 112/4/06
2).
)S
(PLEASE ATTACH ADDITIONAL SHEETS,IF NECES �,.R ) ;7
./
List Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this 2nd
day of April , by Andrew I.Solis , who is personally known to
me or has produced as identification and
who did take an oath.
eBONNIE J.WISHER
? ., TA MY COMMISSION#FF 060970 .
EXPIRES:December 16,2017 BY: 1k, ALA
Vr'• Bonded The Natary Put Underwriters 01/1�-
Deputy C e v otary Public
The annual registration fee is$25.00 per Lobbyist, according to Collier Coun
Ordinance No.2003-53,as amended by Ordinance 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# 007435130
4/3/2014 8:23:00 AM
Dwight E. Brock
.„ -- Clerk of the Circuit Court
n \3 ,fit
00000 _ o_ _00000_ � o
Customer Deputy Clerk Clerk Office Location
ANDREW I. SOLIS BMR CASHIER Collier County Govt. Center
COHEN & GRIGSBY, P.C. MinutesandRecords @CollierClerk.co Building F, 4th Floor
9110 STRADA PL STE 6200 m 3299 Tamiami Trail East, Suite
NAPLES, FL 34108-2396 239-252-2646 401
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#6768 ($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.
o�QQ0W 0c rit&@ x]11 Page 1 of 1