2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
11M!1
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Kimberly Schlachta
Date: 2010-09-22
Busi ness Add ress:
Boylan Environmental Consultants, Inc.
11000 Metro Parkway, Suite 4
Fort Myers. Florida 33966
Business Telephone:
+1 (239) 418-0671
Email: kims@boylanenv.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Kimberly Schlachta
Boylan Environmental Consultants. Inc.
11000 Metro Parkway, Suite 4
Fort Myers. Florida 33966
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY " 2.c~
~ure
State of Florida
County of Colli-e. LE.,f...
The foregoing registration was sworn to and subscribed before me on this 22nd
, by Kimberly Schlachta
day of September, 2010
, who is personally known to me
or has produced
as identification and who did take
an oath.
o....,.~~ '(t~ Notary Public State of Florida
:' ': Judy C Perrella
~ c. ~ My Commission 00778200
""'O'f\.O~ Expires 05/17/2012
BY: 9:~,g~~(L
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
@VVD@O([)n ~@@@U~U
Customer
RAE ANN BOYLAN, ALlCIAL
LEWIS & KIMBERLY
SCHLACHT A
BOYLAN ENVIRONMENTAL
CONSULTANTS, INC.
11000 METRO PKWY STE 4
FORT MYERS, FL 33966-
1210
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
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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