2013/2014 Collier County Clerk of Courts Expires 26/
3299 Tamiami Trail E.
Suite 401, Bldg. F,4t"Floor (Clerk's office only)
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Michael R. N. McDonnell Date 08/09/2013
Business Name McDonnell Trial Law
Business Address 5150 Tamiami Trail North, Suite 203
City Naples State Florida Zip Code 34103
Business Telephone (239) 434-7711 Contact Person Michael McDonnell
Lobbyist E-mail Mike(a�mctrial.com
Notice for Lobbyists: The annual registration fee is $25.00 per Lobbyist, per Collier County
Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24.
Payments made out to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
1. Name Dominick Cammuso 2. Name
Address 9168 The Lane Address
City Naples Zip Code 34109 City Zip Code
3. Name 4. Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida •P
County of Collier
L •byist Signature
CI-4A This registration was sworn(or affirmed) and subscribed before me this day of,
This
2013,by MICHAEL R.N. McDONNELL. T toNES
STATE OF ri w OFdDA
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X Personally Known BY: .11 , c. ry ,., -- L/ti
Produced ID Deput 4 k/Notary Public
Type of ID Produced
Revised:08/2011
Receipt# 007369412
8/20/2013 8:22:36 AM
,�-.-ii,, Dwight E. Brock
0:-.-____-._Ar*.
~, ;. Clerk of the Circuit Court
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Customer Deputy Clerk Clerk Office Location
MICHAEL R. N. MCDONNELL BMR CASHIER Collier County Govt. Center
MCDONNELL TRIAL LAW MinutesandRecords @CollierClerk.co Building F, 4th Floor
5150 TAMIAMI TRL N STE 203 m 3299 Tamiami Trail East, Suite
NAPLES, FL 34103-2818 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# 1288 ($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.
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