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2008/2009 l~)- 0/175 p-.ff q/ crt County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 Dwight E. Brock Clerk ORIGINAL OFFICIAL RECEIPT When Validated i.,l#: 451::;:2406 D:2/Dq/ :2009 BY: MARTHA DEPUTY CLERK 1 i\ CHEC~\: /\ ~-: :, A ,. i'\ II Mf!! rHlL':r .~:~~l't ULJ 25,DO ...1 i.": RECEIPT: 5614855 DESCRIPTION AMOUNT ----------------------------- ---------- ----------------------------- ---------- 25.00 PAYOR: JAMES M. BANKS JAMES M. BANKS, P.E. MV LOBBYIST NAME: REFNC: DEPT: BOARD MINUTES AND RECORDS TOTAL DUE: 25.00 Page 01 of 01 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 I.) - 6/175 Expires: q /09 I BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: James M. Banks Date: 2009-02-09 Business Address: JMB Transportation Engineering. Inc. 761 ~~lst Street NW NaplE~s, Florida 34120 Business Telephone: +1 (239) 919-2767 Email: jmbswte@msn.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Forest Glen Community - C.R. 951 State of Florida County of Collier PLEASE ATTACH ADD:[TIONAL SHEETS IF NECESSARY The foregoing registration was sworn to and subscribed before me on this c1-tr day of .+f,V:) ~O(1L' by dO-.rn-PS)2.Q V\W or has produced _ Q '"bL- , who is personally known to me as identification and who did take an oath. -$-j:(f{ ~Dt RYAN FULTON Not8rv P,ICIIC State of Florida ComITiiSSIOn# D0514426 tlly crn,n-, e,plres Feb. 5. 2010 BY: ,...;t"N'~"""",;E:,~- 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).