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2020/2021 Collier County Clerk of Courts Expires 3299 Tamiami Trail E. (Clerk's o ice only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameKyle Blum Date07/15/21 Business Name Davidson Engineering Inc. Business Address 4365 Radio Road, Suite 201 City Naples State F Zip Code 34104 Business Telephone 239-434-6060 Contact Person Bonnie Hill Lobbyist E-mail kyleb@davidsonengineering.com 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 see attached list 2. Name Address Address City/State Zip 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 registration was sworn (or affirmed) and subscribed before me this 1 S-Yh day of �, , � i , , 20 )1 by k,'l U b I1A NI Personally Known r1viA� 1 , Bonnie J Hil Public l state or Flomp Clerkiotary Public Type of ID Produced v` , *Commission 03 381215 • Expires 07/31/2023 Revised:08/2019 co Nd N CDCs1 _o of v m o) CV CV C CD CV �° p co _ N 0 O CO U) a a N 0 N c (o M 'O J N co co co a) a co O LL M --� LL N LL LL M CO LL C LL C a) N N a) LL U U)) LL ui N (O a) No c) in C (a . YO U ca O• O W D co (U a) W (n E C (n a l9 M p 7 Z N 00 co d Z Z CO -p CO ❑ W US Z (o (U N 0 � O 0 'O d N L0 Z o N COa) U a O c. 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N N N N N N N N N N N N N N N N N N N N N N N 4 CL > Receipt# 008422555 7/20/2021 1:15:15 PM <<,�,«-,.-i— T, Crystal K. Ki nze l 7 \ Clerk of the Circuit Court and Comptroller\:\ , m.�\ / OO o o 0 ��» ;; ` C� _ _ o�C� ICDER Customer Deputy Clerk Clerk Office Location KYLE BLUM Martha S. Vergara Collier County Govt. Center DAVIDSON ENGINEERING, martha.vergara@collierclerk.com Building F, 4th Floor INC. 239-252-2646 3299 Tamiami Trail East, Suite 4365 RADIO ROAD, SUITE 401 201 P.O. Box 413044 NAPLES, FL 34104 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# 1188 ($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. ©CA131® 1C;U l n\n@Opila Page 1 of 1