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2010/2011 Clerk to the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Suite #401 Building F, 4th Floor Naples, FL 34112 Expna 1/~1\ BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM \1, '2-V(\ , Name A LL-\5().-\ Mf~~t2.-A'IH, A 1c...P Business Address L A. ~y .p L-A ,....J:J\ :-.J c..... "'S~ \1 CJr-...J $. \ 1,..K_ L\ 2-C\ 0 - I '-\: t\... 'S \" N c: f'\.J M L.c S I F l. -3 Vl \ L-.O Business Telephone-Z3/\. 30-~ -<08~LE-Mail A LL..l-<.n(~ 0 L{.JS FLUS NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). PLL~~ SE{-- AT\ALj..At:-u L\~\ ~. V~Ol^<- 2). (pLEASE ArrACH ADDITIONAL SHEETS, IF NECESSARY) (4: ~ AJ ~bbyist SiJ.ature State of Florida County of Collier The foregoin registration was sworn to and subscri~ before me on this J 7 day of ,by IJI/;Sbll me.q rtt.'fh ,who ~~na11y Known1D) ~ has prod as identification and who did take an oath. f'" .......................................... : ~H. BISHOP : I 1&1)' Com"", 0008483ge I BY;. : :i ~"...i Expires 2/6flO13 ! e ~..r~ FklridB Notary Aaan.. Inc i Deputy Clerk/Notary Pubb ... ... hi .... ... i I.... I.. I....... .... ...... ....i 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# 007164276 6/1/201111:27:59 AM Dwight E. Brock Clerk of the Circuit Court CQXlvo@n([[O ~@@@D~ll Customer ALLISON MEGRA TH LAND PLANNING SOLUTIONS 4290 14TH ST NE NAPLES, FL 34120-4436 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# 0901 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 cg@UUO@[fcgU@[f[ko @@[jf{fJ Page 1 of 1 COLLIER COUNTY LOBBYIST REGISTRATION LIST OF ENTITY REPRESENTED FOR ALLISON MEGRA TH 1. Ave Maria Development, LLLP 2600 Golden Gate Parkway Naples, FL 34105 2. Ave Maria University AMUL T LLC 4817 Ave Maria Boulevard #6 Ave Maria, FL 34142 3. Collier County Parks and Recreation Department 15000 Livingston Road Naples, FL 34109