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2019/2020 Collier County Clerk of Courts Expires D () C 3293 Tamiami.Trail E. (clerics- eeesali) Suite 401,Bldg.F.4a Floor Naples,Florida 314112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM N,a4ne Canon Sandora, E.I. Date 1017119 Business Name Bora! Engineering & Design, Inc. .Basioess Address 9911 Corkscrew Rd. Suite 772 City Estero State FL Zip Code 33928 Business Telephone 239-692-673& Contact Perste Canon Sandora Lebbyist E-mail canon@txralengineering.eom Notice for Lobbyists: The annual registration fee is$25::04 per Lobbyist,per Collier County Ordinance No.2003-53,and amended by Ordinance 2#04-O5,Ordinance 2007-24 and and'OrCititance 2013-3".Please make payments) to: Collier Clerk of Court Mau to the mess tilted at the top of the form) NAME AM)ADDRESS OF.EACII CLIENT/ENTITY REPRESENTED: . Name fmmokat{ee Fair Housing Alliance, Inc. 2. Name Address 208 Boston Ave. Address City/State tmmokalee, FL Zip 3042 Cisty/Sta€e Zi 3. Name 4, Name Address Address City/State Zip City/State Zip {.ATTACiiif AR8AIDONe L CLIENT SSS,IF NECESSARY) Strxile orf F> i County of Collier (1241 Lobbyist Signliture This was sw���oT or ffiu ed)and subscribed.before me this day c�fi_ �' , 20/1 ,by •&iter. UtLxt.�.ra Personally Kmown BY: ....ekl G; 11,k , 1).L. Produced ID eputy Clerk/Notary Pu lie Type of ID Produced 7)u.v..6 /ice nm-C_ "•"4 KEt.LtE IEEAtlta MUNROE ' Notsay Public-State of Florida =•�"=%•f Commission I GG 362040 =,7;)6ti My Commission E �r aci: 2019 4 J4$�%% September 29, 2023 Receipt# 008177276 2/13/2020 2:39:58 PM `6rOER COL,hrr Crystal K. Kinzel Clerk of the Circuit Court and Comptroller o(el. '1: coy O o ,,,,c,„c 0 IR Customer Deputy Clerk Clerk Office Location ANDRES BORAL, CONON BMR CASHIER Collier County Govt. Center SANDORA MinutesandRecords@CollierClerk.co Building F, 4th Floor BORAL ENGINEERING & m 3299 Tamiami Trail East, Suite DESIGN, INC. 239-252-2646 401 9951 CORKSCREW RD STE P.O. Box 413044 222 Naples, Florida 34101-3044 ESTERO, FL 33928 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check# 1041 ($50.00) 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. ©®001180® g0IED Page 1 of 1