2013/2014 Collier County Clerk of Courts Expires �(
3299 Tamiami Trail E. (Clot 's office only)
Suite 401,Bldg.F,4th Floor
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name Daniel Hartley Date 9/30/13
Business Name J.R.Evans Engineering,P.A.
Business Address 23150 Fashion Drive,Suite 242
City Estero State FL Zip Code _ 33928
Business Telephone 239-405-9148 Contact Person Dan Hartley
Lobbyist E-mail dan @jrevansengineering.com
Notice for Lobbyists: The annual registration fee is$25.00 ner Lobbyist, per Collier County
Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24.
Payments made out to: Collier County Clerk of Courts or Dwight E.Brock,Clerk of Courts
(ADDRESS LISTED ABOVE)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
1. Name See attached list 2. Name
Address Address
City Zip Code City Zip Code
3. Name 4. Name
Address Address
City Zip Code City Zip Code
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida
County of Collier
Lob gist Si na e
This registration was sworn (or affirmed) and subscribed before me this 3 D —
ffi day of,
Set,+f.wtiPe/, 20 Lip ,by Daniel Hartley
✓ Personally Known BY: 1-��-
Produced ID Deputy Clerk/Notary Public
Type of ID Produced
;g• SABINA E.HARDY Revised:08/2011
=*; '_" :._ MY COMMISSION N EE 022300
Pnu l
•-��be EXPIRES:October 28,2014
VP,;k`F' Bonded Thru Notary Public Underwriters
Zik
J.R. EVANS ENGINEERING
LOBBYIST REGISTRATION
LIST OF PERSONS OR ENTITIES REPRESENTED
9.30.13
PULTE HOMES
COLLIER ENTERPRISES MANAGEMENT
AVE MARIA DEVELOPMENT
WALDROP ENGINEERING
FOREST GLEN GOLF &COUNTY CLUB
COLLIER'S RESERVE COUNTY CLUB
DON STEVENS
THE LUTGERT COMPANIES
BENDERSON DEVELOPMENT
QUARRY CDD
COASTAL RESOURCE GROUP
FLOODZONE REVISIONS, LLC
KMF ENVIRONMENTAL CONSULTING
THE CHURCH OF JESUS CHRIST OF LDS
FIFTH THIRD BANK
JCS REALTY GROUP
KMK CAPITAL
HEADWATERS DEVELOPMENT LIMITED LIABILITY PARTNERSHIP, LLLP
BB&T
DAVID ALBIN
ARGENT MANAGEMENT
WALSH COMPANIES
CAMERATTA COMPANIES
LENNAR HOMES, LLC
WILLIAMS FARMS, INC.
CENTEX
PMP MANAGEMENT
SRS ENGINEERING
OUTSIDE PRODUCTIONS
RCMA
KITSON PARTNERS
AMERICAN FARMS
ARGO LAND
23150 Fashion Drive, Ste. 242, Estero, FL 33928
P 239.405.9148 • F 239.288.2537
www.jrevansengineering.com
Receipt# 007382764
10/2/2013 1:25:45 PM
Dwight E. Brock
Clerk of the Circuit Court
rrre zit �
21R
Customer Deputy Clerk Clerk Office Location
A. JENKINS, M. HERRERA, J. BMR CASHIER Collier County Govt. Center
EVANS, E. FOUNTAIN & D. MinutesandRecords @CollierClerk.co Building F, 4th Floor
HARTLEY m 3299 Tamiami Trail East, Suite
J.R. EVANS ENGINEERING 239-252-2646 401
23150 FASHION DR STE 242 P.O. Box 413044
ESTERO, FL 33928-2568 Naples, Florida 34101-3044
1 Product
QUANTITY DESCRIPTION UNIT COST AMOUNT
5 BMR Lobbyist Registration $25.00 $125.00
TOTAL AMOUNT DUE $125.00
Check# 1270 ($125.00)
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.
&DU rGITagriBCCD@CM Page 1 of 1