2011/2012
Collier County Clerk of Courts
3299 Tamiami Trail E.
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
Expires
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(Clerk'(office only)
Name
BOARD OF COUNTY COMMISSIONERS
LOBBYIS REGISTRATION FORM
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Business Name
Lobbyist E-mail
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Notice for Lobbvists: The a nual registration fee is $25.00 oer Lobbvist, per C Her County
Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24.
Payments made out to: Collier County Clerk of Courts or Dwight E. Brock. Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
,
I.Name ~ {Uu-~7eJ\ 2. Name
Address 'L~91J /J~ /it;., t&~Address
-tJI/J'J ' I /)cr;- /,
City /1~ Zip Code3 YIOY City
Zip Code
3. Name
4. Name
/
City / Zip Code
(A TT ACH ADDITIONfL CLIENT SHEETS, IF NECESSARY)
Address
Address
City
Zi p Code
State of Florida
County of Collier
~
This registration was sworn (or affirmed) and subscribed before me this 3d day of,
~,:ri 20 \\ by ~,,,,.s'NJEffS,:c.";i,,,^::?;il
'f:- ' -' <' l;{~r-:;.:l;~~;~,~,~~;:~:. ' -
~ Personally Known BY: .,;;.J:lf <:., .' t<.\}'\'.lJ(:j"',:'lL:.C}ifc J
_ Produced ID 'g~~~ ~~~R-lttrt~~li,S""'$
Type of ID Produced '.:.,""~: ::.~. '.~' ;:-::'::{~;";:'j;16"'7fr:::; "
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":9 "'" --:' J~eVised; 08/2011
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Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007190428
9/30/2011 10:51 :19 AM
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Customer
NANCY A. PAYTON
FLORIDA WILDLIFE
FEDERATION
2590 GOLDEN GATE PKWY
STE 105
NAPLES, FL 34105-3204
Deputv Clerk
BMR CASHIER
M i nutesand Records@CollierClerk.co
m
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3299 Tamiami Trail East, Suite
401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 3460
BALANCE DUE
AMOUNT
$25.00
$25.00
($25.00)
$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.
@@OOo@[f@O@rr1ko@@[[fi)
Page 1 of 1
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II
Martha S. Vergara
From: Nancy Payton <nancypayton @fwfonline.org>
Sent: Tuesday, December 27, 2011 4:41 PM
To: Minutes and Records
Subject: Updating Lobby Info
Hello and Happy New Year!
I am updating my lobby information as required by county ordinance.
Nothing has changed.
I only represent Florida Wildlife Federation.
Nancy
Nancy A. Payton
Florida Wildlife Federation
2590 Golden Gate Parkway Suite 105
Naples FL 34105
Cell: 239-784-5119
1
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i
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Martha S. Vergara
From: Nancy Payton <nancypayton @fwfonline.org>
Sent: Tuesday, April 03, 2012 2:42 PM
To: Minutes and Records
Subject: Updating Lobby Info
Hello and Happy Spring!
I am updating my lobby information as required by county ordinance.
Nothing has changed.
I only represent Florida Wildlife Federation.
Have a good day, Nancy
Nancy A. Payton
Florida Wildlife Federation
2590 Golden Gate Parkway Suite 105
Naples FL 34105
Cell: 239-784-5119
1
, +
i
1
II
Martha S. Vergara
From: Nancy Payton <nancypayton @fwfonline.org>
Sent: Sunday,June 24, 2012 7:40 PM
To: Minutes and Records
Subject: Updating Lobby Info -July 2012
Good morning,
As required by county ordinance, 1 am updating my lobby information for July 1, 2012.
Nothing has changed.
I only represent Florida Wildlife Federation.
Nancy
Nancy A. Payton
Florida Wildlife Federation
2590 Golden Gate Parkway Suite 105
Naples FL 34105
Cell: 239-784-5119
1