2009/2010
Receipt# 007046915
1/19/20104:14:22 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
DAVID FARMER
KEYSTONE DEVELOPMENT
ADVISORS, LLC
12355 COLLIER BLVD STE
B
NAPLES, FL 34116-6027
Deputy Clerk
BMR CASHIER
M inutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Gov!. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires: 2007-10-08
BOARD OF COUNTY COMMISSIONE~
LOBBYIST REGISTRATION FORM
Name: David Farmer
Date: January 19, 2010
Business Address:
Kevstone Develooment Advisors. LLC
12355 Collier Blvd Suite B
Naoles. Florida 34116
Business Telephone:
+1 (239) 263-1100
Email: dave@keystonellc.net
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Rich Yvanovich 435-3535
2. Bruce Anderson for Jack Sullivan 649-2708
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
JO~
Lobbyist Signature
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State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
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or has produced
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. BY:
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, who i~ pe'fo~l~t .~f~~nf' me
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as idenencation and' whQ)tlid:t<lke
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, by
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an oath.
The annual registration fee is $2S.00 per Lobbyist, according to Collier county Ordin n No.
2003-S3,as amended by Ordinance 2004-0S 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).