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2015/2016 Clerk to the Board, Minutes & Records Dept. Expires C ( %o 1 CO 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS • LOBBYIST REGISTRATION FORM Name Blair A. Foley, PE Date5/23/16 Business Address 120 Edgemere Way S. Naples, FL 34105 Business Telephone 239.263. 1222 E-Mailfols000@aol.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). The Kenny Florida Residence Trust 481 Lagoon Ave. Naples, FL 34108 2). Various Other Clients (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESS: ' ) / Lobbyist Sign ture State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this day of 11.404 ) 2o1 , by t1a,ir `Fo(L�. , who is personally known to me or has produced �, — (J as identification and who did take an oath. BY: fi -- r , " Deputy Cle"rk/Not. 1?ubli The annual registration fee is $25.00 per Lobbyist, accor'ii{g t;CQllibr } aunty Ordinance No. 2003-53, as amended by Ordinance 2004 05,,Ordinance°-107- and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or - Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. I' I.. IlJIJF VVI VI U*) PV 5/24/2016 11:14:22 AM Dwight E. Brock Clerk of the Circuit Court n,4 qv Customer Deputy Clerk Clerk Office Location BLAIR A. FOLEY BMR CASHIER Collier County Govt. Center BLAIR A. FOLEY, P.E. MinutesandRecords@CollierClerk.co Building F, 4th Floor 120EDGEMERE WAY S. m 3299 Tamiami Trail East, Suite NAPLES, FL 34105 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# 8988 ($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. • ©OQQ[1® Q® ❑ggpal Page 1 of 1