2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires ~
BOARD OF COUNTY COMMISSIONERS
L'OBBYIST REGISTRATION FORM
Name~Cl~ E. e:\'t "t1V Date 1- C/"" 2of{
Business Address /(Joo N. ~S~ ~ ':hr. J s~1e JOO
FL 33 -bv2
E-Mail ~olilJer ~ -lixkkdi ~ei, ~
T~J
Business Telephone ~~ Z 'l. t.f 88.02
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). t-ku~~ la.W O~ ~~ I L.~
% Hi. ~..tl l(,t'~
I 2. 1::,00 ~{sC4.~~ 61-.
/tJ C1-f' I~ F L .3 #of I oS'
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
~~~
Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this L/J},
day ofueA" ~O\ \ , by Wi\ \iaM E. 0 b' "e r ,who ~onally knOWn to
me or has produced '" .A. as identification and
who did take an oath.
/'!', SARAH J. RADER
~~ MY COMMISSION. DDt93713
""-1 EXP\1ES:M1IY27.2013
'1';..,.,. P1...._~~.Co. ~
I~"'Y .~,
BY J(vYlh~
Deputy Cler otary 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# 007130717
1/7/2011 4:13:59 PM
Dwight E. Brock
Clerk of the Circuit Court
@vVu@oCIDD ~@@@D~U
Customer
WILLIAM E. OLIVER,
FABRICIO PONCE
TINDALE OLIVER
1000 N. ASHLEY DR,.,
SUITE 100
TAMPA, FL 33602
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# 4979
BALANCE DUE:
AMOUNT
$50.00
$50.00
($50.00)
$0.00
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