Loading...
2018/2019 Clerk to the Board, Minutes & Records Dept. Expires______f_9(Y1 11 3299 Tamiami Trail East, Suite #401 (Staff use only) Building F, 4th Floor Naples, FL. 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Deborah L Martohue Date 7/22/2019 Business Address 1036 23rd Avenue N St. Petersburg, FL 33704 E Business Telephone 727.256. 1211 -Mail dmartohuelaw@outlook.com 1 NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Eco-site ll LLC 1). 240 Leigh Farm Road, Ste 230 Durham, N.C. 27707 2), Maximilian Beyrent 162 Pulaski St. Brooklyn, NY 11206 (PLEASE ATTACH ADDITIONAL SH.EETS, IF NECESSA Y) i / .---• / .4 1 4 ...a —........r ' ‘----- Lobbyist Sig ature State of Florida County The foregoing registration was swom to and subscribed before me on this day of_114a.0,1 , bye"Deb,r441, L. 1-00.„-64,441tho is personalk, known to me or has produced who did take an oath. iseit.* 00011N1 L.NICICLAUS -1- i.,,, )4_ MY COMMON 0 GO 324740 13 : 4 , /. , i ger.„P Bonded Thfu Wary Pubic Underedwe : Deputy Clerk/Notary Public The annual registration fee is S25.00 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. 8/13/2019 9:36:50 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 0 ffErgEj @ 1101:R Customer Deputy Clerk Clerk Office Location DEBORAH MARTOHUE, ESQ. BMR CASHIER Collier County Govt. Center DEBORAH MARTOHUE LAW MinutesandRecords@CollierClerk.co Building F, 4th Floor 1036 23RD AVE N m 3299 Tamiami Trail East, Suite ST PETERSBURG, FL 33704- 239-252-2646 401 3228 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# 5151 ($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. ©®D1:1OG [1@ (QOM] Page 1 of 1