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
NameJessica Kluttz Date06/29/21
Business Name Davidson Engineering Inc.
Business Address 4365 Radio Road, Suite 201
City Naples State F I Zip Code 34104
Business Telephone 239-434-6060 Contact Person Tocia Hamlin-Rosa
Lobbyist E-mail jessicak@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 �
obbyist Signa ure
This registration was sworn (or affirmed) and subscribed before me this SOS day of 11,.E ,
20 )1 by Jesst'cc, lr,IAA 41z
✓Personally Known t • , �Ylrt
Produced ID efts Notary Public State of Florida •i eputy Clerk/No ry Public
;r ^ Bonnie J Hill
Type of ID Produced „ Commission GG 381215
, . Expires 07/31/2023
Revised:08/2019
'F''"`DAVIDSON Civil Engineering • Planning • Permitting
ESTABLISHED www.davidsonengineering.com
TRANSMITTAL
June 30, 2021
TO: Martha S.Vergara COMPANY: Collier County Clerk of Courts
3299 Tamiami Trail E, Suite 401
Bldg F,4th Floor
Naples, FL 34112
(Via Regular Mail)
FROM: Bonnie Hill, Accounting Admin
RE: Lobbyist New Registration
Martha,
Attached are the following:
• Signed and Notarized Original Lobbyist Registration Form(s).
• Check for the Lobbyist Registration fee.
Please let me know if you have any questions or require additional information.
Thank you,
53onuue 3fiit
Bonnie Hill
Accounting Administrator
4365 Radio Road • Suite 201 •Naples,FL 34104 • P:(239)434.6060
1990 Main Street • Suite 750 • Sarasota,FL 34236 • P:(941)309-5180
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Receipt# 008412855
7/2/2021 11:25:32 AM
Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
EI
'op J,�-� 0 ITg - - - g -
TNF.CIR�
Customer Deputy Clerk Clerk Office Location
JESSICA KLUTTZ BMR CASHIER Collier County Govt. Center
DAVIDSON ENGINEERING, MinutesandRecords@CollierClerk.co Building F, 4th Floor
INC m 3299 Tamiami Trail East, Suite
4365 RADIO RD # 201 239-252-2646 401
NAPLES, FL 34104-4372 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
Check# 1162 ($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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