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2013/2014 Clerk to the Board, Minutes & Records Dept. Expires 01 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name John S. Cox, CCE, CEcD, IOM Date 09/18/2013 Business Address 2390 Tamiami Trail North, Suite 210 Naples, Florida 34103 239.403.2901 John Cox<john @napleschamber.org> Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). See Attached List 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) • •Lobby's "ature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 4e4.442s-1— day of q , by 3bhr-i 5 . cox , who is personally mown to me or has produced as identification and 4 who ,p►"Y" ��; DAWN MAYOR i et i Notary Public-State of Florida 1 BY:'? �,y� My Comm.Expires Feb 9,2016 - ••,48tf�"D', Commission#EE 168274 '�������," Deputy Clerk/Notary Public The annual registration fee is$25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. The Greater Naples Chamber of Commerce 2390 Tamiami Trail North, Suite 210 Naples, Florida 34103 2. The Leadership Collier Foundation 2390 Tamiami Trail North, Suite 210 Naples, Florida 34103 3. The Partnership for Collier's Future Economy 2390 Tamiami Trail North, Suite 210 Naples, Florida 34103 Receipt#007383401 10/4/2013 9:19:53 AM Dwight E. Brock Clerk of the Circuit Court o o — o _ Customer Deputy Clerk Clerk Office Location JOHN S. COX BMR CASHIER Collier County Govt. Center THE GREATER NAPLES MinutesandRecords @CollierClerk.co Building F, 4th Floor CHAMBER OF COMMERCE m 3299 Tamiami Trail East, Suite 2390 TAMIAMI TRL N STE 210 239-252-2646 401 NAPLES, FL 34103-4484 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#28950 ($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. ©CAIRgIT@[1®Tiho@CM Page 1 of 1