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2009/2010 (b - (J lI75 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires -.1/ )c Ie BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name j J h\ ~ hI" 1C-~ Date ( 0.- / 9 - 0C1 Business Address ..J /Y1 f3 fll A- jV..1 fo aT 1fT I cJtv t;'"N61'" ~;t I""~, t.Ac. ,6/ 21st- S,/ f\Av t/lrfLI::FJ Pc- 341 UJ rId t BusinessTelephone23r-1J~-27('7 E-Mail J(Y\bswte ~.I,r;tV. COft1 NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). I ~""" ,~~fj G ~O ell - Cf ZOO~" , /J 3 1.1+ t1Ivv fll+-PLC ~ F L- 3 Lj ) L 0 fltr r; (LA- ~'t!J FL- S.Jl-tY1~ "RA. f>)IJ}> gtf I L D J -1VA1AS 2). r J 7.b'f rvlt PLt3)~ PLEASE ATTACH ADDITIONAL SHEETS IF NECESS Receipt# 007027907 10/19/20092:46:58 PM Dwight E. Brock Clerk of the Circuit Court (Q)VVD@O([)O ~@@@D~U Customer JAMES M. BANKS JMB TRANSPORTATION ENG., INC. 761 21ST ST NW NAPLES, FL 34120-1813 Deputy Clerk BMR CASHIER M inutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION 1 BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Cash Tendered: BALANCE DUE: AMOUNT $25.00 $25.00 ($25,00) $0.00 ~@O 0 D@[f~[j@[f!h~o ~@!lilD Page 1 of 1