2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires ~
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name +~k>t'\c10 f>ot\c.€. Date \-4 - 20\\
Business Address ~OOO '\.1. l\.~\.I1 1].-. l'Soih. lOll
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Business Telephone 8r~ 12.4 B~~L. E-Mail rtJo(\c.Q..~tl\k1tali"e,.c..o11\
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
I). -It.sle.im!d U'\?,.~ C~ \..l~1t5.1 LLC.
~(o r\,-. 1)61\1 \6 -ro1T.eS
'LClx~ ~\sca)'{)e cJ-. .. Na~le.s rL ~1~'S
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
Lote:
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this 4+ h
dayof~Qn 020~\ ,bYJ:Obric.io P(')()r~ ,whoispe~wnto
me or has produced tJ-A as I en 1 lcation and
who did take an oath.
I!'_"" SARAH J. RADER
~~ MY COMMmSION # DD1l93713
~ EXP!IU'.S: May 27.2013
I~"RY Pl. Nolar1--. Co.
BY: ~ ~ enck,...
Deputy Cler otary Pubhc
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
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Customer
WILLIAM E. OLIVER,
FABRICIO PONCE
TINDALE OLIVER
1000 N. ASHLEY DR,.,
SUITE 100
TAMPA, FL 33602
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
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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