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2017/2018 Clerk to the Board, Minutes &Records Dept. Expires Cy 2e I� 3299 Tamiami Trail East, Suite#401 (Staff use only Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameSeth C. Behn Date7/27/2017 Business AddressLewis, Longman & Walker, P.A. 515 North Flagler Drive, Ste 1500, WPB, 33401 Business Telephone 561 -640-0820 E-MailSbehn@IIW-IBW.COfT1 NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Seminole Tribe of Florida 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 1S4 day of , by . -t l , who is personally known to me or has prodiced s �c �Q iCnorry) ., as identification and who did take an oath. ( /411.444''1.. ,pr NATALIE LEWIS 0 Pwa,� 1 •= Notary Public I State of Florida BY. • Cowunission N GG 017228 •,& • 'My Comm.Expires Aug 1,2020 De ut Clerk/NotaryPublic ( '''',?„;t' Bonded through National Notary Assn.I p Y e annus 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# 007821892 8/4/2017 10:17:36 AM o>Kcotrvrl Dwight E. Brock Clerk of the Circuit Court 0 0 0 Yf ,41t\5 J - 0 gff 7 C ForR Customer Deputy Clerk Clerk Office Location SETH C. BEHN BMR CASHIER Collier County Govt. Center LEWIS, LONGMAN, & MinutesandRecords@CollierClerk.co Building F, 4th Floor WALKER, P.A. m 3299 Tamiami Trail East, Suite 515 N FLAGLER DR STE 1500 239-252-2646 401 WEST PALM BEACH, FL P.O. Box 413044 33401-4327 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# 10895 ($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. ©0201®T@Q® o@Ooj] Page 1 of 1