2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires: 2011-09-30
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Shannon Palmer
Date: 2011-06-28
Business Address:
Naples Botanical Garden. Inc.
4820 Bayshore Drive
Naples. FL 34112
Business Telephone:
+1 (239) 643-7275
Email: spalmer@naplesgarden.org
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Naples Botanical Garden. Inc.
4820 Bayshore Drive
Naples. FL 34112
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSA,RY~.. ....///)
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Lobbyist Signature -... v
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this 2-fJ
day of ~ L-t/J G 2.0 It
I by ~t+At,-H..~ 0 I-J DAUle: T2-
I who is personally known to me
Pel2f>Dt-SAu.>< ILl..) 0 l.0 J.J
as identification and who did take
or has produced
::'.......... 11.11.. II ,.. II.... II .... II II' ......
: CHRISTIE L. BRIGHTON :
a /.~'ol'.'''~I'''{, Comm# D00886674 a
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i \~ li~ Expires 6/2612013 i
:: ~~'".< ~ FIorIdaNotaIYAssn..lnc:: Deput..,.--€lerk/Notary Public
"'............................................; CJ-\- e \ ~ -r t e t.... ~~ \ q f'\--ro~
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).
an oath.
BY:
.
~li-~
Receipt# 007170765
6/28/2011 2:45:17 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
SHANNON PALMER
NAPLES BOTANICAL
GARDEN, INC.
4820 BA YSHORE DR
NAPLES, FL 34112-7336
Deputy Clerk
BMR CASHIER
M i nutesan d 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# 16515
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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