Loading...
2012/2013 Clerk to the Board,Minutes &Records Dept. Expires 13 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F,4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Tim Zellers Date02/07/2013 Business Address Tamiami Hyundai 1471 Airport Pulling Road North, Naples, FL 34104 Business Telephone 239.643.3673 E-Mail tZtamlaml @aol.COm NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: I) Top Hat Holdings, LLC 2) Tamiami Hyundai, Ford, Mitsubishi (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Aft !itied.W41.11/ Lobbyist Signat re State of Florida County of Collier The foregom registration was sworn to nd subscribed before me on this day of ,by `a ''``?' =Fa �69� , who is personally known to in pf"j me or has produced ti°:�p�1�; ,,R�N,y-,�. as identification and who did take an oath. :a`Q�:•'otnM�ss�ow o. #EE085690 °9 a Q: ',9A;��ymti 4 Deputy Clerk/Notary Public Galin OFF' The annual registration fee is $25.0ber 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# 007313752 2/7/2013 9:03:33 AM Dwight E. Brock 9j Clerk of the Circuit Court ..y Lt_ '7 �� ) � � Customer Deputy Clerk Clerk Office Location TIM ZELLERS BMR CASHIER Collier County Govt. Center TAMIAMI HYUNDAI MinutesandRecords @CollierClerk.co Building F, 4th Floor 1471 AIRPORT PULLING RD m 3299 Tamiami Trail East, Suite N 239-252-2646 401 NAPLES, FL 34104-3317 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 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. ©C00kgIl® gglEfu Page 1 of 1