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2016/2017
Clerk to the Board, Minutes & Records Dept. Expires 20 (7 3299 Tamiami Trail East, Suite #401 (Staff use onl ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Keely Morton - Qua,-Jes `� ►- �f Date 1/5/2017 Business Address 1395 Panther Lane, Suite 300 Naples, FL 34109 Business Telephone (239) 659-5045 E-Mail keely.morton@quarles.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Christiana Trust, A Division of Wilmington Savings Fund Society, FSB, as Trustee for Stanwich Mortgage Loan Trust, Series 2013-3 2) BSI Financial Services (PLEASE ATTACH ADDITIONAL SHEETS, IF NECESSARY) ,=5)/—e- Lobbyist Signat re State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 5-141 day of JCAMWO icTS7, by heel ko(foo , who i personally know to me or has produce' J as identi tcation and who did take an oath. ?0`'p`` IVON DELAROSA *= MY COMMISSION#FF018145 BY: jk..A.),--•upe----LA— ''jt•oFop.• EXPIRES May 14.2017 Deputy Clerk/Notary Public (407)398-0153 FloridallotaryService.com The annual registration fee is $25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 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. Receipt#007749467 1/6/2017 8:18:19 AM Dwight E. Brock / Clerk of the Circuit Court - �; i -1 I -.SIF l tur'' \ L ._I i..._ l Customer Deputy Clerk Clerk Office Location KEELY MORTON BMR CASHIER Collier County Govt. Center QUARLES & BRADY, LLP MinutesandRecords©CollierClerk.co Building F, 4th Floor 1395 PANTHER LN STE 300 m 3299 Tamiami Trail East, Suite NAPLES, FL 34109-7875 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#38670 ($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. ©ODDn®G'@OC;PCC:i@OM Page 1 of 1