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2013/2014 Clerk to the Board, Minutes & Records Dept. Expires 4 3299 Tamiami Trail East, Suite#401 (Staff use on ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Caitlin Weber Date6/9/14 Business address 1495 Smith Preserve Way Naples FL 34102 Business Telephone (239) 262 0304 E-Mail caitlinw @conservancy.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Conservancy of Southwest Florida 1495 Smith Preserve Way Naples FL 34102 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The fore oing registration was sworn to and subscribed before me on this ci T4 day of Uri& O I i-1 , by (Alec 13 Lek-k-; , who is personally known to me or has produced as identification and who did take an oath. • 0 AV p�� CHERYL 8.LATIF ,. ' i o ,1 ,`� Notary Public•State of Florida ' BY: mil' My Comm.Expires Feb 7.2018 -•,,,f��� ,• Commission 4t FF 68740 Deputy Cler '1 otary Public ,,,, Bonded Through National Notary Assn. t he annu a registration fee is $25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. Receipt# 007457518 6/9/2014 2:46:15 PM Dwight E. Brock Clerk of the Circuit Court Customer Deputy Clerk Clerk Office Location CAITLIN WEBER BMR CASHIER Collier County Govt. Center CONSERVANCY OF MinutesandRecords @CollierCierk.co Building F, 4th Floor SOUTHWEST FLORIDA m 3299 Tamiami Trail East, Suite 1495 SMITH PRESERVE WAY 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 Cash Tendered ($30.00) Cash Returned $5.00 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. ©CDU rligT©hTBZoggrial Page 1 of 1