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2017/2018
Clerk to the Board,Minutes&Records Dept. Expires o l12.0( 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F,4th Floor Naples,FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameWilliam E. Sundstrom Date 6/11/18 Business Address Sundstrom & Mindlin, LLP, 2548 Blairstone Pines Drive, Tallahassee, Florida 32301 Business Telephone 850-877-6555 E-Mail wsundstrom@sfflaw.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Barron Collier Companies 2) Ave Maria Utility Company (PLEASE ATTACH ADDITIONAL SHEETS,IF NE SSARY) 7 41'ellit Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscFibed before me on this /:72'' day of e.,,i vhf ,by ?ii)I StiY151 ©-►\-t,who is personally known to me or has produced t(. L—, as identification and who did take an oath. /' BY: it �1 ' 7 4r, Deputy Clerk/Notary Pub is - The annual registration fee is$25.00 per Lobbyist,according to Collier Coun Ordinance No.2003-53,as amended by Ordinance 2004-05,Ordinance 2007- 4 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# 007935257 6/12/2018 8:44:48 AM ,41K�O< Dwight E. Brock Clerk of the Circuit Court ff ](3D ER 1 ffE C'IA�� Q Customer Deputy Clerk Clerk Office Location WILLIAM E. SUNDSTROM BMR CASHIER Collier County Govt. Center SUNDSTROM & MINDLIN, LLP MinutesandRecords@CollierClerk.co Building F, 4th Floor 2548 BLAIRSTONE PINES DR m 3299 Tamiami Trail East, Suite TALLAHASSEE, FL 32301- 239-252-2646 401 5925 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 Cash Tendered ($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. 000rl@Q@ ❑@ODO Page 1 of 1