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2018/2019 Clerk to the Board, Minutes &Records Dept. Expires 061 3299 Tamiami Trail East, Suite#401 (Staff use only) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Tara Tedrow Date June 29, 2017 Business Address Lowndes, Drosdick et al, 215 N. Eola Drive, Orlando, FL 32801 407-843-4500 tara.tedrowelowndes-law.corn Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Walmart, 9885 Collier Boulevard, Naples, FL 34114 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) 10— Lobbyist Signature State of Florida County of Collier The foreoing registration was sworn to and subscribed before me on this c>29.11- day of J Ip ?.0 11 , by-Taxa. L.rect u> , who is personally known to me or has produced as identification and who did take an oath. DOH M VREELAND ,../".:.118. NOTARY PUBLIC ,�_,STATE OF FLORIDA • Ca'm�eFF094457 BY 4 : � <I"*Alib'�� ,..`7•••..• Expires 3/16/2018 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. Receipt# 007813753 7/11/2017 8:29:31 AM 00,IK«oU Dwight E. Brock =�; \ Clerk of the Circuit Court J°I'11171145--‘)<C 01/n EDE' C O _ n t 1 Customer Deputy Clerk Clerk Office Location TARA TEDROW BMR CASHIER Collier County Govt. Center LOWNDES, DROSDICK, MinutesandRecords@CollierClerk.co Building F, 4th Floor DOSTER, KANTOR & REED m 3299 Tamiami Trail East, Suite 215 N EOLA DR 239-252-2646 401 ORLANDO, FL 32801-2028 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 1 TOTAL AMOUNT DUE $25.00 Check#282985 ($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. VD110risg117@llQ g@ llU Page 1 of 1