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2022/2023
Lobbyist: S Verizon Name: Julie C. Smith E-Mail: Julie.c.smith@verizon.corn Date Received Details 2/24/2023 New Registration - Exp. 09/2023 Collier County Clerk of Courts Expires O / 3299 Tamiami Trail E. ,: ,.-;,�:. 1,e ? t" ` 12: .CLERK:OF com&rk's office only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name ��, C . Date F r-.cc 13 )off / Business Name Vet'i z o r% Business Address �So ,55 f,(- pv;y�i- fay kw I o �City �ptio_re. r, State �/�— Zip Code ,?o 0 Business Telephone 7 70.-3 )- 77,E Contact Person S /,( Lobbyist E-mail v (; . C . K'',ti, . O '-r,F7 ort . ( 01-'1 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 V e,r i ZOl 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 Celliet -ice cr Li4'bbyist Signature This registration was sworn (or affirmed) and subscribe , �X me this \ 3 day of 1 t.-t 20 l_ by , L�._ n• N \����o•"F`p,EY Joy'''''•,,,,�� ' Personally Known � ��� ppYr O x Produced ID _ ,yo RcIA i kity C1er1 otary Pub Type of ID Produced 6-A .,/r-L ri' '���,„4 •..1/c'j \\`�������` Revised:08/2019 Receipt# 008677391 2/24/2023 3:13:13 PM cu� K«��tiry Crystal K. Kinzel �_, Clerk of the Circuit Court and Comptroller P��F THP CIRCJ`�CO 0 OffICustomer Deputy Clerk Clerk Office Location JSMITH BMR CASHIER Collier County Govt. Center VERIZON MinutesandRecords@CollierClerk.co Building F, 4th Floor 5055 NORTHPORT PARKWAY m 3299 Tamiami Trail East, Suite ALPHARETTA, GA 30022 239-252-2646 401 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#802 ($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. ©10000@Ta® g0° Page 1 of 1