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2011/2012 Collier County Clerk of Courts Expires l �D1D` 3299 Tamiami Trail E. (Clerk office only) Suite 401,Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS, LOBBYIST REGISTRATION FORM Name Patrick G. White Date October 13, 2011 Business Name Porter Uright Morris & Arthur LLP Business Address 9132 Strada Place, 3rd Floor City Naples State FL Zip Code 34119 Business Telephone 239-593-2900 Contact Person Patrick G. White Lobbyist E-mail pwhite(aporterwright.com Notice for Lobbyists: The annual registration fee is $25.00 per 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 David Frank 2.Name Kimberly M. Fry c/o Naples Millwork & Fixture Co.Address 959 First Avenue South ddress 6025 English Oaks Lane City Naples Zip Code 34102 City Naples Zip Code 34119 3.Name G. Bruce Williams 4.Name c/o Jack in the Box Ranch, LLC Address 21381 Highland Lakes Blvd. Address City N. Miami Beach Zip Code 33179 City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier :� , 611% Lobbyist S gnature Patrick G. White This registration was sworn(or affirmed) and subscribed before me this 13" day of, October , 20 11 ,by Patrick G. White XX Personally Known BY: Produced ID Deputy erk/Notary Public 431:.::;k0 MINES GUIST° Type of ID Produced MY COMMISSION i 00 958700 Agnes Guisto EXPIRES:March 26,2014 AlOv+ Fvoe.0 Bonded Thin Budget Notary Services Revised:08/2011 Receipt# 007195601 10/17/2011 3:28:48 PM ,,s; r Dwight E. Brock Clerk of the Circuit Court r o 0 0 Customer Deputy Clerk Clerk Office Location PATRICK WHITE BMR CASHIER Collier County Govt. Center PORTER WRIGHT MORRIS & MinutesandRecords @CollierClerk.co Building F, 4th Floor ARTHUR, LLP m 3299 Tamiami Trail East, Suite 4732 WEST BLVD 239-252-2646 401 NAPLES, FL 34103-3051 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#3787 ($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. ©®o QQB(gLIVOQ gQED Page 1 of 1