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2016/2017 1 Clerk to the Board, Minutes&Records Dept. Expires2°1 3299 Tamiami Trail East, Suite #401 (Staff use only Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Austin S. Turner, Esq. Date 7/12/16 Business Address 1715 MONROE ST, FORT MYERS, FL 33902 Business Telephone (239) 344-1178 E-MaiIAUSTIN.TURNER@HENLAW.COM NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). FISH TALE SALES & SERVICE, INC. 15581 S. TAMIAMI TRAIL, NAPLES, FL 34103 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) 1110 Lobbyist Signature State of Florida County of Collier The fore oin registration was sworn to and subscribed before me on this l a g--� g day of j L l Li , by Qts n S. T rnei ,who is personally known to _ me or has produced as identification and who did take an oath. "''► KIRSTEN REED SHULTZ . / i .4,1:E,: . �m ..! Commission#FF 952177 1I 11,,--Z; -.4,47/ Expires March 20,2020 BY: 0 4 <�'44,. � Bolded Thru Troy Fein Insurance!00.385-7019 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. /1GVGIFJLtr VVI I VL.IVI 8/11/2016 3:08:58 PM Dwight E. Brock Clerk of the Circuit Court J.7 @ _ _ Customer Deputy Clerk Clerk Office Location AUSTIN S. TURNER, ESQ. BMR CASHIER Collier County Govt. Center HENDERSON FRANKLIN MinutesandRecords@CollierClerk.co Building F, 4th Floor ATTORNEYS AT LAW m 3299 Tamiami Trail East, Suite PO BOX 280 239-252-2646 401 FORT MYERS, FL 33902-0280 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# 591336 ($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. ©QQQri@Tgb ❑@Qoj] Page 1 of 1