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2009/2010 Receipt# 007058743 3/10/201011:37:51 AM Dwight E. Brock Clerk of the Circuit Court Customer THOMAS A. HARMER PIZZUTI COMPANIES 300 S ORANGE AVE STE 1500 ORLANDO, FL 32801-3376 cQ)aaQC~lJ~ID ~@@@DI])(t 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# 56-1512 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~@o 0 O@[f~O@[f[%o ~@[ffJfJ Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 1/~/D I BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Thomas A. Harmer Date: 2010-02-26 Business Address: Pizzuti Comoanies 300 S. Oragne Avenue, Suite 1500 Orlando. FL 32801 Business Telephone: I L~Drl) 841-0DoO Email: tharmer@pizzuti.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Collier County Community Redevelopment Agencv. 3301 Tamiami Trail East. Naples. FL 34112 2. Bavshore Gateway Trianale Communitv Redevelooment Aaency. 4069 Bayshore Drive. Naples. Florida 34112 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY State of Florida ua~~~~ The foregoing registration was sworn to and subscribed before me on this 26th ~ (WhO is personally known to mv ific~bn and who did take I by Thomas A. Harmer day of February 2010 BY: or has produced an oath. ........................... : IRIS A. LAW8ClN ! 1_ CarMltElOG I 1111 , : !. . Expha2l111J1Dtt ~ og.N ~ ~I:'" Flar'da tJollly...... .-: '~. J............ll:3eri:-.-:::.iI... The annual registration fee is $25.00 per Lobbyist, according to C county Ordinance No. 2003-53,as amended by Ordinance 2004-05 and Ordinance 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).