2019/2020Collier County Clerk of Courts
3299 Tamiami Trail E.
Suite 401, Bldg. F, 4" Floor
Naples, Florida 34112
Expires
(Clerk's offi a only)
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
k1c Name dX46 L , ��L'Date
Business Name
Business Addre
City State
Business Telephone
�L
Contact Person
Zip Code 3
Lobbyist E-mail
Notice for Lobbyists: The annual registration fee is $25.00 per Lobbyist, per Collier County
Ordinance No. 2003-53, and amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance
2013-39. Please make payment(s) to: Collier Clerk of Court.
(Mail to the address listed at the top of the form)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
1. Name J �� ` �L 2. Name
Address" Z'IM� l Address
City/State eo I' Zip3 l%/03 City/State
3. Name
Address
City/State
4. Name
Address
Zip City/State
(ATTACH ADDITIONAL CLIENT SHEETS, IF NECESSARY)
Zip
Zip
State of Florida
County of Collier �11 �"
Lo byist Signature 11
This registration was orn (or affirmed) and subscribed before me this day of, VU'11
20Q?a, by
Personally Known BY:
Produced ID Deputy ClerldNotary Public
Type of ID Produced
19
Martha S. Vergara
From: Richard L. Klaas <rlk@klaascapital.com>
Sent: Monday, June 1, 2020 2:07 PM
To: Martha S. Vergara
External Message: Please use caution when opening attachments, clicking links, or
replying to this message.
Stock's address:
2639 Professional Circle
Suite 101
Naples, FL 34119
Thank you,
Dick
Richard L. Klaas
(239) 825-6744
Receipt# 008219664
6/1/2020 2:01:11 PM
'%E@CopHrL Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
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Customer Deputy Clerk Clerk Office Location
RICHARD L. KLASS BMR CASHIER Collier County Govt. Center
RICHARD L. KLASS MinutesandRecords@CollierClerk.co Building F, 4th Floor
3377 GULF SHORE BLVD m 3299 Tamiami Trail East, Suite
NORTH, SUTIE 8C 239-252-2646 401
NAPLES, FL 34103 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.
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