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2024/2025 Lobbyist: W Audubon Name: Andrew Wells-Bean E-Mail: andyaudubonwe.orq Date Received Details 9/17/2024 New Registration - Exp. 09/2025 Collier County Clerk of Courts Expires D 3299 Tamiami Trail E. (Clerk's office only) Suite 401,Bldg. F, 4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name / �(X/e_r„J 1PIPAI S- Date 7/ 7/ PI Business Name ANaw %., L.IC fey, Ic-cte� Business Address I Tu o:.ws,- E: 'it-3c)cI 414)-7 City !Vc^,Ore j State I L. Zip Code 3`i i, Business Telephone a3 I C 4 3 7q Contact Person Lobbyist E-mail Gina ,oW•c1,,,yr. t,r2, or, 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 Clerk of Court. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name 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 day of, 20 , by Personally Known BY: Produced ID Deputy Clerk/Notary Public Type of ID Produced Revised:08/2019 Receipt#008900241 9/17/2024 1:44:11 PM C.R(-�� Crystal K. Kinzel Clerk of the Circuit Court and Comptroller l'f E CtM1��\� I i Customer Deputy Clerk Clerk Office Location A.WELL-BEAN BMR CASHIER Collier County Govt. Center AUDOBON MinutesandRecords@CollierClerk.co Building F, 4th Floor 12250TAMIAMI E #309 m 3299 Tamiami Trail East, Suite NAPLES, FL 34113 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# 1205 ($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. g0 ill 00@[71©0@ ❑g0plia Page 1 of 1