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2012/2013 Clerk to the Board, Minutes & Records Dept. Expires G(J`Zj 3299 Tamiami Trail East, Suite #401 (Staff use on y) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameAmber Crooks Date 9/19/12 • Business Address 1450 Merrihue Drive Naples, FL 34102 Business Telephone 239 262-0304 E-Mail amberc @conservancy.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Conservancy of Southwest Florida 1450 Merrihue Drive Naples, FL 34102 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) CD C Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 1 9th day of September,2012 , by Amber Crooks , who is personally known to me or-has-produced and who did take an oath. KATHLEEN P.ADAMS MY COMMISSION#DD 940461 1 js EXPIRES:November 27,2013 BY \\ � \ !! • 11, ,.'FO Bcnded Thor Budget Notary Services 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# 007283406 10/4/2012 2:19:56 PM 4; 16ri; Dwight E. Brock Clerk of the Circuit Court 1 i X _ izI O 0 O 0 IN ( liD 7--L-,'---7 (---- i2)ER Customer Deputy Clerk Clerk Office Location ANDERSON, CROOKS, BMR CASHIER Collier County Govt. Center FRANTZ, HECKER, MinutesandRecords @CollierClerk.co Building F, 4th Floor JOHNSON, MCELWAINE & m 3299 Tamiami Trail East, Suite POLGAR 239-252-2646 401 CONSERVANCY OF SW P.O. Box 413044 FLORIDA Naples, Florida 34101-3044 1450 MERRIHUE DR NAPLES, FL 34102-3449 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 7 BMR Lobbyist Registration $25.00 $175.00 TOTAL AMOUNT DUE $175.00 Check#7610 ($175.00) 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. @ODOOargil®G'CZ❑gOEri Page 1 of 1 Up (do es Martha S. Vergara From: Minutes and Records To: kathy adams Subject: RE: Conservancy of Southwest Florida Lobbyist Thanks, will update the information after lunch Martha From: kathy adams [mailto:kathva@conservancy.org] Sent: Friday, January 11, 2013 10:54 AM To: Minutes and Records Subject: Conservancy of Southwest Florida Lobbyist No changes to our lobbyist client list gat*3'Xiain2.4 Administrative Assistant for Environmental Policy & Science Conservancy of Southwest Florida 1450 Merrihue Drive /Naples, FL 34102 &(6�Phone (239)403-4232 r , Fax(239) 262-5872 � kathya(a�conservancY.org ��� www.conservancy.org ot Please consider the environment before printing this e-mail ( "1\r6(\(.1: '‘)°/( )\(\:(V( 1( ..‘11(\ikir\IC)6117\1 , GOV v\\,\( \