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2015/2016 Collier County Clerk of Courts Expires*i_L 3299 Tamiami Tr ail E. ly) Suite 401,Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REG TRATION FORM Lobbyist Name . Date 0976.2/ #3-- Business Name RA-L d-0 aj L ,' / -gelade-e->p Business Address 2590 7.0 Y- City State Zip Code O AOP Business Telephone 23q-7,1-6-71q(a) Contact Person 4 Lobbyist/Contact E-mail -- le fiior Notice for Lobbyists: The annual registration fee is$25.00 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 DwiMht E.Brock, Clerk of Courts(ADDRESS ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 4 1. Name 7602.td.4 '/e- to 4c2.Name Address ZS�b ideeleie- 7e0441,-0 Address City /0yh Zip Code (..31 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 Lobbyist Signa e This registration was sworn(or affirmed) and subscribed before me this day of, 20 , by Personally Known BY: Produced ID Deputy Clerk/Notary Public Type of ID Produced Revised:08/2014 J 1 INVVVIF./I.Yt VV I../V AL I V 9/22/2015 9:01:32 AM ; :«(,»:,. Dwight E. Brock Clerk of the Circuit Court //1 k 11',: ( °) - ( eN2. - _ (C___JM Q Customer Deputy Clerk Clerk Office Location NANCY PAYTON BMR CASHIER Collier County Govt. Center FLORIDA WILDLIFE MinutesandRecords @CollierClerk.co Building F, 4th Floor FEDERATION m 3299 Tamiami Trail East, Suite 2590 GOLDEN GATE 239-252-2646 401 ESTATES PARKWAY P.O. Box 413044 NAPLES, FL 34105 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# 3821 ($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. @dip bigT©ligrivhD@OM Page 1 of 1 U 1 F;; , S x. f t 1 Martha S. Vergara From: Nancy Payton <nancypayton @fwfonline.org> Sent: Wednesday, January 06, 2016 3:53 PM To: Martha S. Vergara Subject: Lobby info Happy New Year! Martha, I am confirming that I still represent Florida Wildlife Federation. Nancy 1 Uiocia Martha S. Vergara From: Nancy Payton <nancypayton @fwfonline.org> Sent: Monday, March 28, 2016 9:46 AM To: Martha S. Vergara Subject: Lobby Registration update Hi Martha, I am confirming I still represent Florida Wildlife Federation. Happy Spring! Nancy Nancy Payton Florida Wildlife Federation 1 r � a - s Martha S. Vergara From: Nancy Payton <nancypayton@fwfonline.org> Sent: Tuesday, June 28, 2016 10:24 AM To: Martha S. Vergara Subject: Re:4th Quarter update Hi Martha, Thank you for the July reminder. Yes, I still represent Florida Wildlife Federation. I have you in my August daybook for renewal form and fee. Have a great July 4th weekend. use Nancy On Jun 28, 2016, at 10:17 AM, Martha S. Vergara <Martha.Vergara@collierclerk.com>wrote: Good Morning All, It's time for that friendly reminder again.. The 4th quarter updates are due on July 2 (which is a Sunday). Due to the 4th of July holiday, our office is extending the due date to Friday,July 8th. I will be sending out reminders in the beginning August for Lobbyist Renewals. If you would like to send them in early we will start taking Lobbyist Registration Renewals as early as mid-August. If you have any questions feel free to call or e-mail our office any time. Thanks, Martha Vergara, BMR Senior Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail: martha.vergara@collierclerk.com Please visit us on the web at www.collierclerk.com This electronic communication is confidential and may contain privileged information intended solely for the named addressee(s). It may not be used or disclosed except for the purpose for which it has been sent. If you are not the intended recipient,you must not copy,distribute or take any action induced by or in reliance on information contained in this message. Unless expressly stated,opinions in this message are those of the individual sender and not of the Office of the Clerk of the Circuit Court of Collier County. If you have received this communication in error, please notify the Clerk's Office by emailing helodesk(acollierclerk.com quoting the sender and delete the message and any attached documents.The Collier County Clerk's Office accepts no liability or responsibility for any onward transmission or use of emails and attachments having left the CollierClerk.com domain. 1 Under Florida Law,e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead,contact this office by telephone or in writing. 2