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2020/2021 Collier County Clerk of Courts Expires IN doc)/ 3299 Tamiami Trail E. (Clerk' office only) Suite 401,Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameAL Quattrone Date09/03/2020 Business Name Quattrone & Associates, Inc Business Address 4301 Veronica Shoemaker Blvd City Fort Myers State FL Zip Code 3 3 916 Business Telephone 239-936-5222 Contact Person Al Quattrone Lobbyist E-mail al@qainc.net 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 County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: Creighton Construction Management 1. Name 2. Name Address 2240 W, First St, Suite 101 Address City/State Fort Myers, FI Zip 901 33 City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida , County of Collier s Lobbyi7' This registration w swo (or affirmed) and subscribed r-fore me this d of 20.0 by 00 (04, -�— of Personally Known BY: Produced ID y Cle ota Pu is Type of I D Produce d f,.AY.P B SHARON HRA yp z �n MY COMMISSION#GG355296 SEXPIRES JUL 23,2023 Bonded through 1st State Insurance Revised:08/2019 Receipt# 008263888 9/17/2020 11:23:22 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller 0 TNF.CIR�J gff—@ -i09Q Customer Deputy Clerk Clerk Office Location AL QUATTRONE BMR CASHIER Collier County Govt. Center QUATTRONE & MinutesandRecords@CollierClerk.co Building F, 4th Floor ASSOCIATES, INC. m 3299 Tamiami Trail East, Suite 4301 VERONICA S 239-252-2646 401 SHOEMAKER BLVD P.O. Box 413044 FORT MYERS, FL 33916-2216 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#2193 ($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. ©D[1D11QT@OQgg lf�l1 Page 1 of 1