2010/2011
Clerk to the Board, Minutes & Records Dept.
3299 Tamiami Trail East, Suite #40 I
Building F, 4th Floor
Naples, FL 34112
Expires *
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Brian Barnes
Date Julv 11. 2011
Business Address 1388 Colonial Blvd.
Fort Myers, Florida 33907
Business Telephone (239) 829-7004
E-Mail brian.barnes@cardno.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). See attached list.
2).
(pLEASE ATTACH ADDITIONAL SHEETS, IF NECESSARY)
~~~-=z
Lobbyist Signature
State of Florida
County of ~ l.e. e.
Deputy Clerk/Notary 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# 007174208
7/14/201111:06:43 AM
Dwight E. Brock
Clerk of the Circuit Court
(o)UGD C~ 0 @J D lR1c~)C~@ 0 CQ)1J
Customer
ANDREW MCTHENIA & BRIAN
BARNES
CARONO ENTRIX
1388 COLONIAL BLVD
FORT MYERS, FL 33907-
1015
Deputy Clerk
BMR CASHIER
Minutesand 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
2
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 141289
BALANCE DUE:
AMOUNT
$50.00
$50.00
($50.00)
$0.00
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