2010/2011
Clerk to the Board, Minutes & Records Dept.
3299 Tamiami Trail East, Suite #401
Building F, 4th Floor
Naples, FL 34112
EXPireS~
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name
Andrew McThenia
Date July 11, 2011
Business Address 1388 Colonial Blvd.
Fort Myers, Florida 33907
Business Telephone (239) 829-7017
E-Mail andrew.mcthenia@cardno
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). See attached list.
2).
(pLEASE ATTACH ADDITIONAL SHEETS, IF NECESSARY)
tUwW;tJ~
Lobbyist Signature
State of Flo"rida
County of ~ l--c:.c:..
The foregoing registration was sworn to and subscribed before me on this / j..ft....,
day of ~ J~ ' by V\ ~~e..w ~p WI..(C-I....., who is personalty known to
me or has produc ~..- ("<",i"\VV'~ \ \t ~Y\./')\':> \"- as identification and
who did take an oath.
"......., GITANA N. GIBSON
m~ '" F .
i'. :t% Notary PU.bIiC . State 01
f. . ~ My Comm Expires Jan 1. 201
\~ . ~$ Commission 1# EE 143
'-',:f,.'ff.:if,.,'" Bonded Through National Notary Assn
The annual registr ee IS 2. 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
7/14/2011 11 :06:43 AM
Dwight E. Brock
Clerk of the Circuit Court
CQ)vvD@~nCIDII ~C@@@DCQ)Q
Customer
ANDREW MCTHENIA & BRIAN
BARNES
CARDNO ENTRIX
1388 COLONIAL BLVD
FORT MYERS, FL 33907-
1015
Deputy Clerk
BMR CASHIER
M in utesand 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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