2006/2007
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT: 5185778
NAME :
THOMAS MISSIMER
THOMAS MISSIMER
APJ
PAYOR:
REFNC:
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
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GT AMT PAID:
DESCRIPTION
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D6/11/2007
25,00
"il:) :"'"10
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AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
Page 01 of 01
25.00
rn 4LfO~D
Board Minutes & Records
330 I Tamiami Trail East
Building F, 4th Floor
Naples, Florida 34112
Name Thomas M. Missimer
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Date June 8, 2007
BUSINESS ADDRESS
Business Telephone
Missimer Groundwater Science, a Schlumberger Company
1567 Hayley Lane, Suite 202, Fort Myers, FL 33907
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
239-481-6494
E-Mail tmissimer@slb.com
I). Florida Rock Industries, Inc.
. 1 55 E. 21 st Street, P.O. Box 4667, Jacksonville, FL 32201
2). Naples Reserve, u.c
515 Terracina Way, Naples, FL 34119
PLEASE A TT ACH ADDITIONAL SHEETS IF NECESSARY
STATE OF FLORIDA
COUNTY OF T PA
4~~
Lobbyist Signature
The foregoing registration was SWorn to and subscribed before me on this the 8th day of
June · 200Z. by Thanas M. Missimer who is personally known to me _
~ u/e - ~andwhodidtakeanoath.
,,''<<iil..p',.... USA N.LATKOWSKl
!.'f ~,J MY COMMISSION # DO 213010
~~. . - EXPIRES: AugUSI22, 2007
"'~' .1lI" Bonded Thru Notary Public lJnderwrfrn
~'
BY: .
K1NoUiiy Pnb' c_ state of Florida
Lisa N. Latkowski
The annual registration fee is $25.00 per Lobbyist, according to Collier 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).
'FedEx I' Ship Manager I Label
From: Origin 10: FMYA (239)481-6494
Lisa Lalkowski
Missimer Groundwater Science
1567 Hayley Lane, Sune 202
~.
lti
Fort Myers, Fl 33907
SHIP TO (239)732-2646 BIll SENDER
Clerk of Courts
Collier County
3301 Tamiami Trail East, Bldg. F
4th Floor
Naples, Fl34112
CLSl223t1121123
Page I of I
Ship Date: OBJUN07
Acmgt: 1 LB
Syslem#: 7314127/INET7011
Accounl#: S .........
Delivery Address Bar Code
1111/111111111/1/1'/1111111111/111111I1""11111111"
Ref # 0009-0094 Registration
Invoice #
PO#
Dept#
PRIORITY OVERNIGHT
MON
Deliver By:
11JUN07
RSW A5
TRK# 7996 5525 9954
FORM
0201
34112
-Fl-US
35 APF A
Shipping Label Your shipment is complete
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6/8/2007