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2009/2010
Board Minutes & Records Expires: QI ' 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Marc Cioffi Date: 2010-10-04 Business Address: Weston and Sampson Engineers, Inc. 12730 New Brittany Boulevard, Suite 600 Fort Myers, FL 33907 Business Telephone: (239) 437-4601 Email: cioffim @wseinc.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. See attached list 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 4th day of October, 2010 by Marc Cioffi , who i ovally know o me or has produced as identification and who did take an oath. "....`M JAYNE BRADBURY�°° °�°°° „wah,.,, Comm#DD0759123 - Expires 31812012 BY: : `irAr. �'KP"��o Florida NotarAssn Inc ° D;' • pu, Clerk/Notary Pu•ic ,�n 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# 007111257 10/7/2010 12:06:48 PM Dwight E. Brock Clerk of the Circuit Court 1r o oo rpEJ - o_ oo _ oC000Co - o rrrc;t�i�i-�' Customer Deputy Clerk Clerk Office Location JEFFREY A. WILSON, JOHN BMR CASHIER Collier County Govt. Center R. MUSSER, ROBERT M. MinutesandRecords @CollierClerk.com Building F, 4th Floor MITCHELL, PATRICK J. 239-252-2646 3301 Tamiami Trail East CONNELLY, MARC CIOFFI & P.O. Box 413044 DAVID BEAL Naples, Florida 34101-3044 WESTON & SAMPSON ENGINEERS, INC. 12730 NEW BRITTANY BLVD STE 600 FORT MYERS, FL 33907- 4682 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 6 BMR Lobbyist Registration $25.00 $150.00 TOTAL AMOUNT DUE: $150.00 Check# 84653 ($150.00) BALANCE DUE: $0.00 cam oo ©ll oo Page 1 of 1 oll