2018/2019 n9Collier County Clerk of Courts Expires0
3299 Tamiami Trail E. (Clerk's ffice only)
Suite 401,Bldg. F, 4th Floor
Naples,Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NameDanielle Brazil Hudson Date8/16/2019
Business Name Naples Area Board of Realtors
Business Address 1455 Pine Ridge Road
City
Naples
State FL Zip Code 34109
Business Telephone 239-597-1666 Contact Person Moyim M anion
Lobbyist E-mail danielle@nabor.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, Ordinance 2007-24 and Ordinance
2013-39. Please make payment(s) to: Collier County Clerk of Courts & Comptroller.
(Mail to the address listed at the top of the form)
NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED:
Naples Area Board of Realtors
1. Name 2. Name
Address 1455 Pine Ridge Road Address
City/State Naples Zip 34109 City/State Zip
3. Name 4. Name
Address Address
City/State Zip City/State Zip
(ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY)
State of Florida
County of Collier anittO 71/RdtleK__ -
Lobbyist Signature
This registration was sworn(or ffirmed) and subscribed before me this I day of S
20 P9 by �a � t� VCt
Personally Knownttb•-/
BY: I'� '
Arai
Produced ID Deputy'Clerk/No . Pub is ! 1 --
Type of ID Produced t "
Revised:08/2019
8/19/2019 10:34:02 AM
Crystal K. Kinzel
Clerk of the Circuit Court and Comptroller
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Customer Deputy Clerk Clerk Office Location
DANIELLE BRAZIL HUDSON BMR CASHIER Collier County Govt. Center
NABOR MinutesandRecords@CollierClerk.co Building F, 4th Floor
1455 PINE RIDGE RD m 3299 Tamiami Trail East, Suite
NAPLES, FL 34109-2139 239-252-2646 401
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# 030479 ($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.
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