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2011/2012Collier County Clerk of Courts 3299 Tamiami Trail E. Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 Expires ~ BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Gavin Gillette Date 10/1/2011 Business Name Davidson Engineering, Inc. Business Address 3530 Kraft Road, Suite 301 City Naples State FL Zip Code 34105 Business Telephone (239) 434-6060 Contact Person Tocia Hamlin-Senior Proiect Coord. Lobbyist E-mail gavin@davidsonengineering.com Notice for Lobbvists: The annual registration fee is $25.00 oer Lobbvist, per Collier County Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwh!:ht E. Brock. Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: Magnolia Pond Holdings, LLC: Land Trust #1; Rourke & Associates; Erv Stokes; Marsilea Villas II. LLC; Shoesop Properties, LLC; Emergent Development Group, Inc.; 850 NWN, LLC; CG2, LLC; City Gate Development, LLC; Collier County Solid Waste; URS Corporation; Rock Creek Holdings; First Assembly (Church on the Way); New Hope Ministries; Oaks Farms; PAC of Collier County, Inc.; North Naples United Methodist Church; Hodges University; First Haitian Baptist Mission Church; Waste Management. Living Word Family Church, Grace Romanian Baptist Church, Life Christian Church, Environmental Turnkey Services, Ichthyo Park, Rock Creek Holdings, West Florida Agro, Ltd., Collier County Public Utilities, Collier County Transportation ~1t~ )jobbyiSt ignature /F This registration was sworn (or. affirmed) ~bSCribed before me this \ ~ (XidOeY,20Jl, by baUIV\ E'i, II . . dhnL ../ Personally Known By:J:i!lt... ~. Produced ID Deputy Clerk/Notary Public Type of ID Produced State of Florida County of Collier day of, "~'~"'" TOCIA HAMUN /:/'JS:.Itf::: MY COMMISSION # EE 071004 ~,~.:~: EXPIRES: July 7, 2015 <.1,'"f.....'fi'..l Bonded Thru Notary Public Underwliters , .'Rrltf:\'~..______ _ - .... .- Revised: 08/2011 Receipt# 007199021 11/1/201111:13:48 AM ~/"'<\.;{f'I}/" I "~,, - "~). / ..... U _ ',..... ' 'oJ: 'V- '. .~. ~/ . . -- .-..~~~:-- ~ Dwight E. Brock Clerk of the Circuit Court / =- JC Customer T. HANCOCK; F. HOOD; G. GILLETTE; J. FRUTH; R. WHITE; J.L. DAVIDSON; J. J. KRALL DAVIDSON ENGINEERING, INC. 3530 KRAFT RD STE 301 NAPLES, FL 34105-5020 Deputv Clerk BMR CASHIER Minutesand Records@CollierClerk.co m 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 DESCRIPTION 7 BMR Lobbyist Registration UNIT COST $25,00 TOTAL AMOUNT DUE Check# 9321 BALANCE DUE AMOUNT $175,00 $175.00 ($175.00) $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, @@DD~@rr@D@~@@[Jili) Page 1 of 1