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2012/2013
Clerk to the Board, Minutes&Records Dept. Expires , .9/43 .J 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Robert E. Murrell Date Business Address 5405 Park Central Court, Naples, FL 34109 239-596-9522 RobertMurrell©SMGLawfirm.com Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Glen Eagle Golf and Country Club, Inc. 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF. - SSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this • 22 14 day of April,2013 , by Robert E Murrell , who is personally known to me or has produced FL TL_. as ident f ion and who did take an oath. ,r+ic ` ►pig, BY: W -' Deputy C1erk/Notary�P f 17' ; rr The annual registration fee is$25.00 per Lobbyist,according to ollaer Co nty,` Ordinance No. 2003-53,as amended by Ordinance 2004-05 and Or niii e- "I 4. 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# 007333715 4/22/2013 11:40:31 AM is {, ., Dwight E. Brock t Clerk of the Circuit Court k, -1.,,,,,,,,,, 7 , o 0 0_ _Th D) __ _v_, -, ,,,y u (eM,, _j _HER Customer Deputy Clerk Clerk Office Location ROBERT E. MURRELL BMR CASHIER Collier County Govt. Center SAMOUCE, MURRELL & GAL, MinutesandRecords @CollierClerk.co Building F, 4th Floor P.A. m 3299 Tamiami Trail East, Suite 5405 PARK CENTRAL CT 239-252-2646 401 NAPLES, FL 34109-5934 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 (4/22/2013) Balance transfered From Receipt# 7332178 $1.50 Check# 15722 ($25.00) Check#5026 ($1.50) 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. ©Qo D[IOCSG'a®ITBZ❑ggal Page 1 of 1