2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: .
lane E Eichhorn
Date: 4-70-:W11
Business Address: 7400 Tamiami Trail N
Naples, Florida 334108
Business Telephone: ~~ ')J, ,)6!! Emall: eicbba[D@abbinc earn
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
PLEASE ATTACH ADDITIONAL SHEETS IF NECESw
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O"lJt SIgnature
State of Florida
County of Collier
The foregoing registration was svv~~n to and subscribed before me on this
day of ~;'A.'./ 02//1 ,y~ ~ ~~
or:JJ_~_s..pr~--.-_______-
07/
, who is personally known to me
......
an oath.
__..iiS-idel,tiril.dLiO'II and who did take
l
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# 007156045
4/28/2011 9:31:17 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
JANE EICHHORN
AGNOLl, BARBER, &
BRUNDAGE, INC.
7400 TAMIAMI TRL N
NAPLES, FL 34103-3712
Deputy Clerk
BMR CASHIER
M inutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3299 T amiami Trail East,
Suite 401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 13894
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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