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2012/2013 Collier County Clerk of Courts Expires 2..O 13 3299 Tamiami Trail E. (Cler 's office only) Suite 401,Bldg. F, 4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name ANTHONY P. PIRES, JR. Date /a_ —/2-- Business Name WOODWARD, PIRES & LOMBARDO, P.A. Business Address 3200 NORTH TAMIAMI TRAIL#200 City NAPLES State FLORIDA Zip Code 34103 Business Telephone 239-649-6555 Contact Person ANTHONY P. PIRES, JR. Lobbyist E-mail apires(aiiwpl-legal.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 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name DWIGHT E. BROCK 2. Name FIDDLERS CREEK CDD 1 Address 3299 Tamiami Trail East, #403 Address c/o Wrathell, Hunt and Associates, LLC 6131 Lyons Road, Suite 100 City Naples ,FL Zip Code 34112 City Coconut Creek, FL Zip Code 33073 3. Name FIDDLERS CREEK CDD 2 4. Name PELICAN MARSH CDD . Address do Wrathell, Hunt and Associates, LLC Address c/o Dorrill Management Group 6131 Lyons Road, Suite 100 5672 Strand Court, Suite 1 City Coconut Creek, FL Zip Code 33073 City NAPLES, FL Zip Code 34110 (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) _ State of Florida h�i County of Collier //ice '�mP/&4: i yist Signature This registration was sworn or affirmed) and subibe04efore me this day of, 9C3-706 20/ Z, by da,fr l/ ' ifle-S �� V'Personally Known �3:••��ssioa A.• ''. BY: Vr/ Produced ID ; ��n ?� S /yep,ty Clerk/N tary Publ. ■,'' // '(,(,4 6iio - 'h,,,P'BLIC,Type of I D Produced =y�. #DD 9580 •4i , `�°�� Revi sed: 08/2011 Receipt# 007284002 10/8/2012 1:38:15 PM Dwight E. Brock Clerk of the Circuit Court 47/ •i , O D F , j O gif e Customer Deputy Clerk Clerk Office Location ANTHONY P. PIRES, JR. BMR CASHIER Collier County Govt. Center WOODWARD, PIRES & MinutesandRecords @CollierClerk.co Building F, 4th Floor LOMBARDO, P.A. m 3299 Tamiami Trail East, Suite 3200 TAMIAMI TRL N UNIT 239-252-2646 401 200 P.O. Box 413044 NAPLES, FL 34103-4108 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# 3427 ($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. CCARIGTMg1TOZoggn Page 1 of 1