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2012/2013 Clerk to the Board, Minutes &Records Dept. Expires 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name George Vukobratovich Date02/07/2013 Business Address Welsh Companies of Florida, Inc. 2400 Ninth Street North, Suite 101 Business Telephone 239.261 .4744 E-Mail georgev @welshfl.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Top Hat Holdings, LLC 2) Tamiami Hyundai, Ford, Mitsubishi (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) hu, I Lobbyist Signature State of Florida County of Collier The foregoina registration was s to and subscribed before me on this 7 day of �,4 by TZ-04� , who is personally known to me or has produced >ic' " as identification and who did take an oath. 2�o..Fr°iAiV/r�~6 z: #EE 085690 °9• 56 :Q Deputy Clerk/Notary Public A•'yFa The annual registration fee is $25.00 }4'@O,i ln yg;€, 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# 007313750 2/7/2013 9:02:42 AM Dwight E. Brock Clerk of the Circuit Court Customer Deputy Clerk Clerk Office Location GEORGE VUKOBRATOVICH BMR CASHIER Collier County Govt. Center WELSH COMPANIES OF MinutesandRecords @CollierClerk.co Building F, 4th Floor FLORIDA m 3299 Tamiami Trail East, Suite 2400 NINTH STREET NORTH, 239-252-2646 401 STE 101 P.O. Box 413044 NAPLES, FL 34103 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Deposit Account#: D-03450 ($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. ©®° DDt1® D® C 0 1(1 Page 1 of 1