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2020/2021
Collier County Clerk of Courts Expires 0 / tric'0�1 3299 Tamiami Trail E. (Clerk's e only) Suite 401, Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name --bQ./:LO ,Se44 , P.E. Date -r/i' 12.412 Business Name Te cuL.r E.-JO-I.-Jet/749 - Business Address 33oO 9&4 BI Q .S•u;f� 78v City �c,(M "B{`.L State FL Zip Code 33 c[/0 Business Telephone 777- - Co78 -`;22`t Contact Person ---D4u'' fc 4 i t�•.- Lobbyist E-mail ( av%c9 • Sc.H- Q J acaSr .c4A-, 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: 1. Name Pon-Se 'Foue_ d L S CCI Cl'.y 2. Name Address 7o0 V•": BlucY Address City/State J ",..1 eilraaLj FL Zip 3 3 fOP 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 Lobbyist Signature This regis i n was sworn(or,affirmed) and subscribed before me this I) day of Om �f 20 A by /4 0 I Personally Known BY: Q i Jry • i& i of Public Type of ID Produced Produced ID KATHRYDN�D'aMATO � R - �- t°1,14,- M +o - *;Notary Public-State©f Florida Commission # GG 905979 My Commission Expires 'J P\ September 14, 2023 _ Revised 08 2019 7 a coS b3300 PGA Boulevard Suite 780 Palm Beach Gardens,FL 33410 (561)799-3855 www jacobs.com May 12,2021 Collier County Clerk of Courts 3299 Tamiami Trail E. Suite 401, Building F,4th Floor Naples, Florida 34112 Subject:Collier County Lobbyist Registration To Whom It May Concern: Attached is a notarized Lobbyist Registration form and a check for$25.00 made out to the Collier County Clerk of Courts&Comptroller. I will be attending the May 24, 2021 Collier County Planning Commission Hearing and anticipate attending one of the Board of County Commission meetings in June on behalf of FPL for the Immokalee Solar Energy Project. Please call me at(772)678-9224 or email me david.scottc jacobs.com if there are any questions regarding this submittal. Very Trul David Scott, P.E. Project Manager Jacobs Engineering Group Inc. Receipt# 008385528 5/13/2021 1:31:11 PM L"ck,,F.RCOU,I,TL Crystal K. Kinzel Clerk of the Circuit Court and Comptroller � 1 THF.C10.�J (c`- ° CP-71@CM7 -ioER Customer Deputy Clerk Clerk Office Location DAVID O. SCOTT BMR CASHIER Collier County Govt. Center JACOBS ENGINEERING MinutesandRecords@CollierClerk.co Building F, 4th Floor GROUP, INC. m 3299 Tamiami Trail East, Suite 3300 PGA BLVD STE 780 239-252-2646 401 PALM BEACH GARDENS, FL P.O. Box 413044 33410-2811 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#2664 ($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. @000M(gT@Iii® ggEfa Page 1 of 1