2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires: 2007-10-08
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Carol A. licko
Date: October 12, 2010
Business Address:
Hogan Lovells US LLP
1111 Brickell Avenue. Suite 1900
Miami. Florida 33131
Business Telephone:
+1 (305) 459-6612
Email: carol.licko@hoganlovells.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Jackson Laboratorv
600 Main Street
Bar Harbor. ME 04609
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
C~(] L<,lu
Lobbyist Signature
State of Florida. ' , \ I}
Countyof'" "~~-D,~
The foregoing registration was sworn to and subscribed before me on this
day of O~ ';;o/<i' by C~ ,4 ~du ' who is personally known to me
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or t'ld~ t-'Ioeh::le:cd
as identification and who did take
an oath.
l~\'~'.!~, PATRICIA A. COURTNEY
,,,"1;;.",,, Commission DO 70n66
~~jf Expires September 19, 2011
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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# 007112628
10/13/20102:32:25 PM
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Dwight E. Brock
Clerk of the Circuit Court
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Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
Customer
HOGAN LOVELLS
1111 BRICKELL AVE STE
1900
MIAMI, FL 33131-3142
Deputy Clerk
BMR CASHIER
M inutesand Records@CollierClerk.com
239-252-2646
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 7103
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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