2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Dave Hallowell
Date: 2009-12-29
Business Address:
Black & Veatch
10950 Grandview Drive. Bide 34
Overland Park. KS 66210
Business Telephone:
+ 1 (913) 458-2873
Email: HalloweIlDS@bv.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Black & Veatch
10950 Grandview Drive. Bide 34
Overland Park. KS 66210
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State Of~,~
County of
The foregoing registration was sworn to and subscribed before me on this -.!if/-
day OfU)u1/ JOIO
,by -1)aUQ 5. -}(aJ loWtI/
, who Is personally known to me
.. ~.;,:F.'~ . as identification and who did take
/'-~\~:;~'~';, Y BY: j) J., .
'p;;> ~:::3!~
..... ," '.
The annual registration fee is $25.00 pe'..{.~jiV:IS.t~."ccording to Collier county Ordinance No.
2003-53,as amended by Ordinance 2004-0S.lIi.o~.'prdinance 2007-24. Please make payment and
mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at
the top of the form).
or has produced
an oath.
Receipt# 007044615
1/7/20108:25:00 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
DAVE HALLOWELL
BLACK & VEATCH
10950 GRANDVIEW 5T
BLDG 34
OVERLAND PARK, K5
66210-1565
Deputy Clerk
BMR CASHIER
MinutesandRecords@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 31422
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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