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2011/2012 Clerk to the Board, Minutes & Records Dept. Expires �' 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples,FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Patrick H. Neale Date 10/31/11 Business Address Patrick Neale & Associates 5470 Bryson Court, Suite 103, Naples, FL 34109 Business Telephone 239-642-1485 E-Mail pneale @patrickneale.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Bald Eagle Towing 3927 Enterprise Avenue Naples, FL 34104 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESS % Lobbyist Signature State of Florida County of Collier The foregoing registration was s orn to and subscribed before me on this 3 l day of Q c-tO( or ,by (c-4-4-Ct cot f J Q.('-(Q- ,who is ersonally known to j or has produced as identification and who did take an oath..��������yI/�I�yIIry/I��I�II/���j ?� Y::,,,, WEN KLNKIEWIMI. \ \ ,•- MY COMMISSION#DD 998501 BY: b _.,._ ---) 1 EXPIRES:June 7,2014 ��-No F��0.\o' Bonded Thai Budget Navy Wee* Deputy Clerk/Noy 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# 007199677 11/3/2011 10:25:04 AM Dwight E. Brock Clerk of the Circuit Court ) a _ vems Customer Deputy Clerk Clerk Office Location PATRICK NEALE BMR CASHIER Collier County Govt. Center PATRICK NEALE & MinutesandRecords @CollierClerk.co Building F, 4th Floor ASSOCIATES m 3299 Tamiami Trail East, Suite 5470 BRYSON CT STE 103 239-252-2646 401 NAPLES, FL 34109-6000 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# 1651 ($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. ©000rl® gl® g0 11 Page 1 of 1