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2013/2014 Clerk to the Board, Minutes&Records Dept. Expires 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples,FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Burt L. Saunders, Esq. Date 4/9/14 Business Address 8889 Pelican Bay Blvd., Suite 400 Naples, FL 34108 239-598-3601 burt.saunders @gray-robinson.com Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Naples Community Hospital 350 7th Street North Naples, FL 34102 2) City of Marco Island 50 Bald Eagle Drive Marco Island, FL 34145 (PLEASE ATTACH ADDITIONAL SHEETS,IF NECES ARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sw to and subscribed before me on this f day of 4iv.:L., 2-co(L/ , by E- ,Se-c.clid e,-3, who is personally known to me or has produced iU /4 as identification and who did take an oath. NOTARY PUBLIC-STATE OF FLORIDA ""„'''' Leslie Joan Yurkovac ���� „�I Commission#EE018443 BY:41-4.910-0,-,%.„,, ,,.s Expires: AUG.18,2014 BONDER THRU ATLANTIC BONDarc co.,INC. Deputy Clerk/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, 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. Additional Client Sheet Name: Orangetree Utilities 4500 Executive Drive Naples, FL 34119 Name: Harris Corp/Communications International, Inc. 4450 Us Hwy 1 Vero Beach, FL 32967 Receipt# 007444242 4/30/2014 2:25:13 PM Dwight E. Brock Clerk of the Circuit Court ffg- rFk:is t'` Q Customer Deputy Clerk Clerk Office Location BURT L. SAUNDERS, ESQ. BMR CASHIER Collier County Govt. Center GRAY ROBINSON MinutesandRecords @CollierClerk.co Building F, 4th Floor 8889 PELICAN BAY BLVD m 3299 Tamiami Trail East, Suite STE 400 239-252-2646 401 NAPLES, FL 34108-7512 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#375740 ($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. gg[lUhT©bgTaKogglIE Page 1 of 1