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2011/2012 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 9/?D/ZD/L Expires: 2~12 07 14. BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Michael T. Poff, P.E. Date: 2011-07-14 Business Address: Coastal Engineering Consultants. Inc. 3106 South Horseshoe Drive Naoles. Florida 34104 Business Telephone: +1 (239) 643-2324 Email: mpoff@cecifl.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Various Clients - as consultants meet and discuss various issues with County Staff and BCC members. PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY / ". J. State of Florida County of Collier . !. \ . . . ill \. V'- Lobbyist Si~nature \ i I day of S() 1\ j ) or has produced ,~ (; II , by lite h~ T Pc-fF / q'+t7 I The foregoing registration was sworn to and subscribed before me on this , who is personally known to me as identification and who did take an oath. NOTARY pUJlIlC-STATE OF FLORIDA ~""'I""~,,, Karen J. Taylor g W ! Commission # DD81SSS2 \'flfI./ Expires: OCT. 01, 2012 BONDED THRU ATLANTIC BONDING co., rnr_ BY: < / 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# 007175551 7/20/2011 2:31 :30 PM (Lt5~\~_gi!c;t; /;, /<........ '\\ I 'I \ "1 -', ", '1 \ ,1,,-,' ~\, .~! jii i'-1_'~ "'!/C01 OPr'i/i'('\i:;:;'(>' Dwight E. Brock Clerk of the Circuit Court , JJ i..J IJ I -, ) ) /..,-'\ <' ( L-. I \\__: ~~~7 (Q~\ :'''-~-~-) [~-,/l, C))'-i. ~ rj '--' Clerk Office Location Collier County Gov!. Center Building F, 4th Floor 3299 Tamiami Trail East, Suite 401 P.O. Box 413044 Naples, Florida 34101-3044 Customer MICHAEL POFF COASTAL ENGINEERING CONSULTANTS 3106 HORSESHOE DR S NAPLES, FL 34104-6137 Deputy Clerk BMR CASHIER M i nutesand Records@CollierClerk.com 239-252-2646 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 062696 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 Page 1 of 1