2010/2011
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: Alicia Lewis
Date: 2010-09-22
Business Address:
Boylan Environmental Consultants, Inc.
11000 Metro Parkway. Suite 4
Fort Myers. Florida 33966
Business Telephone:
+1 (239) 418-0671
Email: alicial@boylanenv.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Alicia Lewis
Boylan Environmental Consultants, Inc.
11000 Metro Parkway. Suite 4
Fort Myers. Florida 33966
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State of Florida I (: t..
County of Collier' \.-V
The foregoing registration was sworn to and subscribed before me on this 22nd
, by Alicia Lewis
day of September, 2010
, who is personally known to me
- - -.............
or has produced
as identification and who did take
an oath.
o~v -Ct.... Notary Public State of Florida
~ ~ 'f;. Judy C Perrella
~ c: ~ My Commission 00778200
"'''''OFf\.O~ Expires 05/17/2012
e, \?Uv\JQQ~
Clerk/Notary Public
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).
Receipt# 007108478
9/27/20108:58:27 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
RAE ANN BOYLAN, ALlCIAL
LEWIS & KIMBERLY
SCHLACHTA
BOYLAN ENVIRONMENTAL
CONSULTANTS, INC.
11000 METRO PKWY STE 4
FORT MYERS, FL 33966-
1210
Deputy Clerk
BMR CASHIER
M inutesandRecords@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
3
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 09813
BALANCE DUE:
AMOUNT
$75.00
$75.00
($75.00)
$0.00
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