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2018/2019 Clerk to the Board,Minutes &Records Dept. Expires aQ zon 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameGina R. Green, P.E. Date6/6/19 Business Address331 0 1st Ave NW, Naples, FL 34120 Business Telephone 239-348-0500 E-Mailggreeneng@aol.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Naples Heritage Golf & Country Club, Inc 8150 Naples Heritage Drive Naples, FL 34112 2) Naples Heritage CDD 210 N UNIVERSITY DR STE 702 CORAL SPRINGS, FL 33071 (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) obbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this day of , by ,who is personally known to me or has produced as identification and who did take an oath. BY: Deputy Clerk/Notary Public 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. 0-06+ Clerk to the Board, Minutes &Records Dept. Ex 3299 Tamiami Trail East, Suite#401 (Staff use o Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameGina R. Green, P.E. Date6/6/19 Business Address331 0 1st Ave NW, Naples, FL 34120 Business Telephone 239-348-0500 E-Mailggreeneng@aol.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Walker Coon Key Marina 785 BALD EAGLE DR Marco Island, FL 34145 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Az-`f Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this day of ,by ,who is personally known to me or has produced as identification and who did take an oath. BY: Deputy Clerk/Notary Public 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. 6/6/2019 8:23:29 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 1DIR iffr o 0 0 @CTh Customer Deputy Clerk Clerk Office Location GINA R. GREEN BMR CASHIER Collier County Govt. Center GINA R. GREEN, P.E. MinutesandRecords@CollierClerk.co Building F, 4th Floor 3310 1ST AVE NW m 3299 Tamiami Trail East, Suite NAPLES, FL 34120-2704 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# 1663 ($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. ©®000@Tawggnij] Page 1 of 1