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2009/2010 Receipt# 007083842 6/10/201010:49:07 AM Dwight E. Brock Clerk of the Circuit Court @((V~@D~lD CK1@C~@D~ts Customer TED TREESH & DAVE WHEELER TR TRANSPORTATION CONSULTANTS, INC. 13881 PLANTATION RD STE 11 FORT MYERS, FL 33912- 4339 Deputy Clerk BMR CASHIER Minutesand 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 2 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 1217 BALANCE DUE: AMOUNT $50.00 $50.00 ($50.00) $0.00 ~@O 0 O@[f~O@[ffko @@[{[J[J Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 1/;0 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name:ycL1(ecJ~ Date: aJ.//lpIIO Business Address: -r(l... T rCiA".') 7 cr~J;'~ {;t1,uI ~ ~_ Jl'lC, J7Jf..p OG1~ e\.o-se Cf" S-h- 503 R-. lY\ye0 PL 33701 Business Telephone: :l>3q - ;;{1-8' - 3Cf1D Email: +b+@+rfranS.ne-l- NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: PLEASE ATTACH ADDITIONAL SHEETS IF NECESSAR~ ,/ ._ Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this \\0+\\ daYOf~huor~'bY,1eclJffesk _ or has produced --IX\V((<; , I c<.n(e___ . \\,\11111/111". ~,<-.\ ,&\M LAM I.I;I~ ~ ........~-1tl; ~ ~ ...;o\.t.MISSIO;~..4' ~ ~ . -, " 29 'v"'. "- ~ .$ ':,-:,r-e <, ';t:;. ~ ~ * l ' ,,~~\ i = . 1"11- - -z. .. en. = is ~ #DD""" :* E Deputy Clerk/Notary Public ~~..~ vo9406 .: ~ ,,~.'t;-~. .~~ ~ ..0.. 1.:";'lllIdttllll . I? .. S:i ~ The annual registration fee is $25.00 ~~~ording to Collier county Ordinance No. 2003-53,as amended by Ordinance 200'''~m;if.~tt\~inance 2007-24. Please make payment and mail to:Collier County Clerk of Courts or DwtW"~'E. Brock, clerk of Courts (at the address listed at the top of the form). , who is personally known to me as identification and who did take an oath. BY: ~ cJac JJacip