2006/2007County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
BY: TERESA D
DEPUTY CLERK
RECEIPT:
4929920
NAME :
THOMAS M. TAYLOR
PAYOR:
THOMAS M. TAYLOR
REFNC:
TLD
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
DESCRIPTION AMOUNT
LOBBYIST 25.00
TOTAL DUE: 25.00
Page 01 of 01
Collier County Expires
3301 Tamiami Trail East
Naples FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Thomas M. Taylor Date August 7, 2006
Business Address 950 Encore
Business Telephone
FL 34110
239-254-2000
E-Mail tomtaylor@hmeng.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). See Attached List
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
C
Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
day ofd .�. , 4_� , by e ,.,�(ot-, who is personall known to me or has
produced as identification and who did
take an oath. „y DE tHOGUE
rawyPUwc-$ftof
i Cmwf" nr.
0od�71 Y:
ea�dedBye rwHoryn�n. up Deputy Clerk/Notary Pubhc�a�ic�.. '
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinances No. 2004.05