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2011/2012 Clerk to the Board, Minutes &Records Dept. Expires 61 f 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Mark H. Muller, Esq. Date 1/30/12 Business Address Mark H. Muller, P.A., 5150 Tamiami Trail N., Suite 303, Naples, Florida 34103 Business Telephone 239-774-1436 E-Mail Mark @MullerLawNaples.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Vanderbilt Beach Residents Association, Inc. P.O. Box 771330 Naples, Florida 34107 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECE •` 'Y) / Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 30th day of January,2012 , by Mark H.Muller , who is ersonally known r has produced as identification and who did take an oath. �� tvy�= RORI E.MORRISON ~� Rori Morrison ,ar.,, :,r? MY COMMISSION#DD 811403 BY: �'!Rf ie Bowed ThruENotary Public u 2nderwrfters �` - Deputy Cler rotary 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#007221021 2/6/2012 5:10:33 PM ek«��n<, Dwight E. Brock ! Clerk of the Circuit Court 144 C _ c=3 _ I_-\ E°� LL Customer Deputy Clerk Clerk Office Location MARK MULLER, P.A. BMR CASHIER Collier County Govt. Center 5150 TAMIAMI TRL N STE 303 MinutesandRecords @CollierClerk.co Building F, 4th Floor NAPLES, FL 34103-2818 m 3299 Tamiami Trail East, Suite 239-252-2646 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check# 1842 ($25.00) BALANCE DUE $0.00 Note: Disclaimer:All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. C 0 00r1® ®E? ©Daffa Page 1 of 1