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2012/2013
Clerk to the Board, Minutes & Records Dept. Expires l 20/3 3299 Tamiami Trail East, Suite #401 (Staff use on ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Paul Erhardt Date 3/22/2013 Business Address 24301 Walden Center Drive Bonita Springs, FL 34134 Business Telephone (239) 498-8200 E-Mail marycook @wcicommunities.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). WCI Communities, Inc. 24301 Walden Center Drive Bonita Springs, FL 34134 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 02 7 f4 day of M KC-47 , by Tau/ Ev-/ v o// , who is personally known to me or has produced as identification and whodidt ean_oath_ _ LEDIA METAJ ':,.: MY COMMISSION#DD 928264 EXPIRES`November 3 2rwO BY' cd' Bonded Thru Notary Public Underwriters 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# 007328294 4/3/2013 11:04:00 AM 6s Dwight E. Brock Clerk of the Circuit Court D) , _ — ER raj 0 Customer Deputy Clerk Clerk Office Location PAUL ERHARDT BMR CASHIER Collier County Govt. Center WCI COMMINITIES, LLC MinutesandRecords @CollierClerk.co Building F, 4th Floor 24301 WALDEN CENTER DR m 3299 Tamiami Trail East, Suite BONITA SPRINGS, FL 34134- 239-252-2646 401 4965 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#00376294 ($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. ©0110 hTglilQ @gam Page 1 of 1