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2012/2013 Clerk to the Board, Minutes & Records Dept. Expires C1/2-01,3 3299 Tamiami Trail East, Suite #401 (Staff use on ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Marisa Polgar Date 9/19/12 Business Address 1450 Merrihue Drive Naples, FL 34102 Business Telephone 239 403-4232 E-Mail marisap @conservancy.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Conservancy of Southwest Florida 1450 Merrihue Drive Naples, FL 34102 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECE .ARY) Lob.\ ist Signatur• State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 19th day of September,2012 , by Marisa Polgar , who is personally known to me m or has-pre as-identification and who did take an oath. r."!.:,°6e,,, KATHLEEN P.ADAMS MY COMMISSION*DD 940461 J EXPIRES:November 27,2013 a°? Bonded Thru Budget Notary Services BY: ` t V 14,1 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: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (at the address listed at the top of the form). Receipt# 007283406 10/4/2012 2:19:56 PM 4; 16ri; Dwight E. Brock Clerk of the Circuit Court 1 i X _ izI O 0 O 0 IN ( liD 7--L-,'---7 (---- i2)ER Customer Deputy Clerk Clerk Office Location ANDERSON, CROOKS, BMR CASHIER Collier County Govt. Center FRANTZ, HECKER, MinutesandRecords @CollierClerk.co Building F, 4th Floor JOHNSON, MCELWAINE & m 3299 Tamiami Trail East, Suite POLGAR 239-252-2646 401 CONSERVANCY OF SW P.O. Box 413044 FLORIDA Naples, Florida 34101-3044 1450 MERRIHUE DR NAPLES, FL 34102-3449 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 7 BMR Lobbyist Registration $25.00 $175.00 TOTAL AMOUNT DUE $175.00 Check#7610 ($175.00) 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. @ODOOargil®G'CZ❑gOEri Page 1 of 1 Up (do es Martha S. Vergara From: Minutes and Records To: kathy adams Subject: RE: Conservancy of Southwest Florida Lobbyist Thanks, will update the information after lunch Martha From: kathy adams [mailto:kathva@conservancy.org] Sent: Friday, January 11, 2013 10:54 AM To: Minutes and Records Subject: Conservancy of Southwest Florida Lobbyist No changes to our lobbyist client list gat*3'Xiain2.4 Administrative Assistant for Environmental Policy & Science Conservancy of Southwest Florida 1450 Merrihue Drive /Naples, FL 34102 &(6�Phone (239)403-4232 r , Fax(239) 262-5872 � kathya(a�conservancY.org ��� www.conservancy.org ot Please consider the environment before printing this e-mail ( "1\r6(\(.1: '‘)°/( )\(\:(V( 1( ..‘11(\ikir\IC)6117\1 , GOV v\\,\( \