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2013/2014 Collier County Clerk of Courts Expires - 2 t t-1' 3299 Tamiami Trail E. (Clerd's office only) Suite 401, Bldg. F,4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Anthony P. Pires, Jr. Date 10/07/13 Business Name Woodward, Pires & Lombardo, P.A. Business Address 3200 Tamiami Trail North. Suite 200 CityNaples State Florida Zip Code 34103 Business Telephone 239-649-6555 Contact Person Anthony P. Pires, Jr. Lobbyist E-mail apires @wpl—legal.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: I. Name Dwight E. Brock 2 NameFiddler's Creek Community Development District 1 Address Office of Clerk of Courts Address c/o Wrathell. Hunt and Associates, LLC 3315 Tamiami Trail E. Suite 102 9220 Bonita Beach Road, Suite 214 City Naples Zip Code 34112 CityBonita Springs y Zip Code34135 Florida Florida 3. NameFiddler's Creek Community 4. Name La Peninsula Condominium Assoc. Development District 2 Address c/o Wrathell, Hunt and Associate Address c/o Richard Van Deelen LLC 9220 Bonita Beach Road 332 La Peninsula City Suite 214 Bonimpaigs 34135 City Naples Zip Code34113 (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) Florida State of Florida 4.1ar, County of Collier o`��q"1Pt ApI�����ii, � �� ��Missio 9�c��'% •oM N Lob 1 ist Sig i'ature rki *:4\km t N .p : e r i :/_istratio w ivoribr fire t nd subscribed before me this /) day of, vl�,t I a •o� y "6/C STATE,��e�,` �� ,� `/ Personally Knowff i/+41110 �\ BY: L I( ' .iLa Produced ID yep ty Clerk/Notar Pu. i'40 Type of ID Produced Revised:08/2011 Receipt#007383954 10/7/2013 1:52:19 PM Dwight E. Brock Clerk of the Circuit Court Customer Deputy Clerk Clerk Office Location ANTHONY P. PIRES, JR BMR CASHIER Collier County Govt. Center WOODWARD, PIRES & MinutesandRecords @CollierClerk.co Building F, 4th Floor LOMBARDO, P.A. m 3299 Tamiami Trail East, Suite 3200 TAMIAMI TRL N STE 200 239-252-2646 401 NAPLES, FL 34103-4108 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#3580 ($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. 000[Iri@ Q(TaKo©C i Page 1 of 1