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2017/2018
Collier County Clerk of CourtsExpires 3299 Tamiami Trail E. (Clerk's Of ce Only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 COLLIER COUNTY LOBBYIST REGISTRATION FORM Lobbyist Name Tara L. Tedrow Date April 5, 2017 Business Name Lowndes, Drosdick, Doster, Kantor & Reed, P.A. Business Address 215 N. Eola Avenue City Orlando State FL Zip Code 32801 Business Telephone 407-843-4600 Contact Person Lobbyist/Contact E-mail tara.tedrow@lowndes-law.com Notice for Lobbyists: The annual registration fee is 525.00 per Lobbyist,per Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Payments made out to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts(ADDRESS ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1.Name Walmart 2.Name Address 9885 Collier Boulevard Address City Naples Zip Code 34114 City Zip Code 3.Name 4.Name Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier obbyist Signature This registratig was sworn (9r affirmed) and subscribed before me this day of ] , 201 , by ara 1 /Personally DONNA M.VREELAIND Known � NOTARY PUBLIC BY:'l - Produced ID .i s='STATE OF FLORIDA Deputy Clerk/Notary Pub is i•:'.3' commit FF094457 Type of ID Produced • 116/2018 Revised:08/2014 Receipt#007781532 4/11/2017 8:19:53 AM Dwight E. Brock f . Clerk of the Circuit Court 1 Customer Deputy Clerk Clerk Office Location TARA L. TEDROW BMR CASHIER Collier County Govt. Center LOWNDES, DROSDICK, MinutesandRecords@CollierClerk.co Building F, 4th Floor DOSTER, KANTOR & REED, m 3299 Tamiami Trail East, Suite P.A. 239-252-2646 401 215 N EOLA DR P.O. Box 413044 ORLANDO, FL 32801-2028 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#281271 ($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. ©0110 Mg[T@Ogdho@CIED Page 1 of 1