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2012/2013 Clerk to the Board, Minutes& Records Dept. Expires 2-0 13 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Michael R.N. McDonnell Date01/22/2013 Business Address 5150 Tamiami Trail North Suite 203 Business Telephone 239-434-7711 E-Mail mike @mctrial.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Dominick Cammuso 9168 The Lane Naples, FL 34109 2). (PLEASE ATTACH ADDITIONAL SHEETS, IF N" /./A e:7/411K_* /,Lo• .yist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on t is 22 day of January,2013 , by Michael R.N.McDonnell , w r : is personall law.to me or has produced i.ation and who did take an oath. vnN•813A JONES NOTARY PUBLIC BY: sri..T r , .:',I�IDGL 1 Al"-!$4--- " , al 77229i Deputy • . � 'ublic �7�p16 The annual r ati ee►s 825.00 per Lobbyist, according to . ier County Ordinance No. 2003-53, as amended by Ordinance 2004-05 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). Receipt# 007311897 1/31/2013 11:33:49 AM Dwight E. Brock Clerk of the Circuit Court r-p El 0 ffEj-,@ - ,5 'DER Customer Deputy Clerk Clerk Office Location MICHEAL R. N. MCDONNELL BMR CASHIER Collier County Govt. Center MCDONNELL TRIAL LAW MinutesandRecords @CollierClerk.co Building F, 4th Floor 5150 TAMIAMI TRL N STE 501 m 3299 Tamiami Trail East, Suite NAPLES, FL 34103-2822 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#895 ($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. ga ri®G'©O®G'BZ❑@g 111 Page 1 of 1