2007/2008County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT: 5243448
NAME : THOMAS TAYLOR
PAYOR: THOMAS M. TAYLOR
REFNC: APJ
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
j o(Q OLC
Ev-pI qj0&
V#: 4232715 08/17/2007
CHECK: 25.00
CT AMT PAID: 25.00
DESCRIPTION AMOUNT
LOBBYIST25 00
TOTAL DUE: 25.00
Page 01 of 01
Collier County Expires
3301 Tamiami Trail East
Naples FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Thomas M. Taylor Date August 6, 2007
Business Address 950 Encore
Business Telephone
FL 34110
239-254-2000 E-Mail tomtaylor@hmeng.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1).
2).
Sap AttnAe'd NO
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
Lobbyist Signature
State of Florida
County of Collier
The fore ing registration was s orn to and subscribed before me on this `/�
day of by � mho is personally known to me or has
produced as identification and who did
take an oath.
,N;p%s,•, DEBRAL VOGUE
?°` `h Notary Public - State of Fbdda
My Commission Expires Aug 4, 2DO9
W Commission # DD458334 Y'
Bonded By National Notaryassnr5eputy Clerk/Notary Public
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinances No. 2004.05