2011/2012
Collier County Clerk of Courts
3299 Tamiami Trail E.
Suite 401, Bldg. F, 4th Floor
Naples, Florida 34112
Expires ()q 180 (d-..
(Clerk's office nly)
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name R i cha..rd D. 'fo\Janovj(:.n Date q J~I) J 1
.
Business Name ColerY1an J Yo" a("\~ vie h a koe.cie.~) P A .
Business Address l./:oOI Tami (1 m i Trt1 i 1 -il ?nO
City ~Ie. c:; State fL Zip Code 3410 3
Business Telephone 2:SQ 4-?h :<f.335 Contact Person Di an no.. QIJ i rrrt1 nillCl
LobbyistE-mail~D\JOJ\OVi c.h @, C-jV lal.A-)+r rm. (f)N\
Notice for Lobbvists: The annual registration fee is $25.00 per Lobbvist, per Collier County
Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24.
Payments made out to: Collier County Clerk of Courts or Dwie:ht E. Brock. Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: t' $..QjY)e. Li s+ as
last j e.a.Y"
1. Name
2. Name
Address
Address
City
Zip Code
City
Zip Code
3. Name
4. Name
Address
Address
City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS, IF NECESSARY)
City
Zip Code
o_.___._._.____.__._o_o__._.____.____~---..-.----------.'-_.0__-
State of Florida U d-- (~
County of Collier ..
Lobbyist Signature
This registration was sworn (or affirmed) and subscribed before me this
c,opk- ,20--'-L-,by f?l(h(lrd D. Yo"anov;c.h
V Personally Known BY:
Produced ID
Type of ID Produced
~l,h day of,
Deputy Clerk/Notary Public
Revised: 08/2011
Receipt# 007190289
9/29/2011 2:48:12 PM
Dwight E. Brock
Clerk of the Circuit Court
(g)t}Un CG 0 C~l 0 I ~~ C~XQX~-j n [}if~
Customer Deputv Clerk
RICHARD YOVANOVICH BMR CASHIER
COLEMAN, YOVANOVICH & MinutesandRecords@CollierClerk.co
KOESTER m
4001 TAMIAMI TRL N STE 300 239-252-2646
NAPLES, FL 34103-3591
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3299 Tamiami Trail East, Suite
401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY DESCRIPTION
1 BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 21434
BALANCE DUE
AMOUNT
$25.00
$25.00
($25.00)
$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.
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