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2009/2010 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expi res: q- YJ- 2C)lO BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: David L. Tetzlaff Date: Sept. 28, 2009 Business Address: 1590 Goodlette Frank Road Naples, FL 34102 Business Telephone: 262-5409 Email: david@napleszoo.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: l.Naples Zoo, Inc. PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY ,,-.-...-'- Lobb State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this cJ '? ~~I daYOf~5i-fJ+ ;<OCC) ,bY,_Dauld.- [7ft-lla/I ,_wh~ers_onall~own~e ,. or has produced as identification and who did take an oath. .... ..... ..... ........ ........,.... ............ :: CAMILLE PICKENS i i _ Comm# 000745897 ! . . ~ ... ExpIres 11312012 ! :: FIoIld8 NOl8fy ARn.. Inc i ..... ............. ..... ....................:.J BY: /li , /J I . L~-JJU.-L0' I.{ (IL/t.-. J- Deputy Clerk/Notary 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:Colller County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at the top of the form). Receipt# 007023366 10/1/200911:09:54 AM Dwight E. Brock Clerk of the Circuit Court CO)V1]D@~fcJD ~C~C~@DrJ)Q Customer DAVID TETZLAFF NAPLES ZOO, INC. 1590 GOODLETTE FRANK RD NAPLES, FL 34102-5260 Deputy Clerk BMR CASHIER M i nutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 3664 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~ @UU D @fl~ U@fl!J:fo @@[J[fJ Page 1 of 1