2009/2010
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: Carol A. Licko
Date: August 6, 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 Laboratory
600 Main Street
Bar Harbor, ME 04609
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
~a~~
Lobbyist Signature
State of Florida
County of r on r M.t'i::lO'v'_l-Ot'~-e...
The foregoing registration was sworn to and subscribed before me on this 0 ~
day of P<v?JvS'tr ~b( 0 ' by Co..'(1') \ (J., L ,'GlCo
, who is personally known to me
or ha3 tJl "c1w:ed
41i: ielel,tifiOl!:ll1un-and who did take
an oath.
....~~ PATRICIA A. COURTNEY
!.'fW'~ Commission DO 707766
~~ :,;i Expires September 19, 201.1. .
#'4;. BondedThruTIllVFainl__~'
~~
IASII_l, GL kjNotary 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# 007097620
8/9/2010 3:42:28 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
CAROL A. L1CKO
HOGAN LOVELLS, US, LLP
1111 BRICKELL AVE STE
1900
MIAMI, FL 33131-3142
Deputy Clerk
BMR CASHIER
M inutesand Records@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# 7062
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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