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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 EXPires~ BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameDtJlJ/k.-D A .l?cl(wou-f! Business Address Sis-o 'TAA1 1".11/ IU"P LIEs / t:::= L srlE. S"O Z Business Telephone 2' J --906 D E-Mail ftcK1a.w @ eQ.rfla/'lf.k. ne. .., NAME AND ADDRF.SS OF EACH PERSON OR ENTITY REPRESENTED: c.c.-C: 1). C G- 'it. rJ- IV f.0 N ~:>"'O. (..,c.. C- /~? 5:' MA/~ ST SUITt!. $00 -A1{A..ON"7 ON '11../ 3 ()? 2). PLEASE ATIACH ADDITIONAL SHEETS IF NECES~ A Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this !~ day of ex:..- TO (~~6'y Dt>~...., A. p,eJ(...,. ",!who is personally known to me or has pM~II~ecl H~ iclp,ntifif'atiQR -and w ~V.fltt- ANGELA TOMPKINS a -4 ) ft.: ~ Commission # DD 932762 BY.. . / ~.' p /~ \::fen, ./J1u~ (I Expires December 29. 2013 ,~ 't.#n. , Bonded llw TroyFlOn Insurance 8OIJ-385.7019 Deputy ClerkINotary 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# 007121927 11/24/20102:18:27 PM Dwight E. Brock Clerk of the Circuit Court @vVD@D~D C\1@@@D~Q Customer DON A. PICKWORTH 5150 TAMIAMI TRL N STE 502 NAPLES, FL 34103-2822 Deputy Clerk BMR CASHIER M inutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3299 Tamiami Trail East, Suite 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 5644 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~@!l!l D@rr~!l@rrfflo @@[j[([J Page 1 of 1 Martha S. Vergara From: Sent: To: Subject: Donald Pickworth [Picklaw@earthlink.net] Friday, January 21, 2011 12:05 PM Martha S. Vergara Re: Quarterly Lobbyist Client List Updates are due No change On 1/21/201111:34 AM, Martha S. Vergara wrote: Hello Everyone, This is just a reminder that I haven't received an e-mail telling us the following: Changes to Lobbyist Client List (New or deleted) - with name (company/person) and address No changes to our Lobbyist Client list Also a list of Lobbvist's the changes applv to. Send them to minutesandrecords@collierclerk.com, and if you have already sent you update please ignore this reminder. Thanks, Martha Vergara, Deputy Clerk Minutes and Records Dept. Clerk of the Circuit Court and Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail: martha.vergara@collierclerk.com 1