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2012/2013 Clerk to the Board, Minutes& Records Dept. Expires Y/24-5 3299 Tamiami Trail East, Suite#401 (Staff use Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameJohn J. Mulvena Date 5-7-2013 Business Address Naples Zoo, Inc. 1590 Goodlette Frank Road Business Telephone 239-262-5409 E-Mailjack @napleszoo.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Naples Zoo, Inc. 1590 Goodlette Frank Road Naples, FL 34102 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) RYq CAMILLE PICKENS Ss�o NOTARY PUBLIC ESTATE OF FLORIDA Lob st ignature Comm#EE145095 Stat%i'.` OdfiiiireS 1/3/2016 County of Collier The foregoi g registration was sworn to an4 subscribed before me on this day of H'CL , by_J a l✓e vla , who is personally_known to me or has prodiced as identification and who did take an oath. BY: 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# 007339397 5/10/2013 2:24:31 PM �,, .(,), Dwight E. Brock Clerk of the Circuit Court .Q/.:(1,iy.-C.'/ 0 giErCC-1- 1 D) \ \ , ,, ) '------ r, ) p Customer Deputy Clerk Clerk Office Location JOHN J. MULVENA BMR CASHIER Collier County Govt. Center NAPLES ZOO MinutesandRecords @CollierClerk.co Building F, 4th Floor 1590 GOODLETTE-FRANK m 3299 Tamiami Trail East, Suite ROAD 239-252-2646 401 NAPLES, FL 34102 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#2067 ($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. ©CA Orl®Ta®IThiggEfa Page 1 of 1