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2019/2020 Collier County Clerk of Courts Expires 01 a() C) 3299 1"31131iliMi Trail E. fOerCs sts°O.!,y Suite 401,Bldg. F,41fr Floor Naples,Flnrida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Andres Sorel, P.E., M.B.A. Dare 1017/19 Business Name Boal'Engineering& Design,‘hc. Business Address 9911 Corkscrew Rd. Suite 777 City Estero State FL Zip Code 33928 Business Telephone 2334992-0509 Contact Person Andres Bora{ Lobbyist E-mail andresaboralengineering.coca Notice for Lobbyists; The annual registration fee is 525.00 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(%)tor Collier Clerk irf Court. (Mail to the address listed at theta!)of the form) NAME AND ADDRESS OF EACH CLIENTIENTITY REPRE,SENTED: 4. Name Immokalee Fair FiOlising Allianze, Inc. 2. Name Address 208 Boston Ave. Address City/State Immokalee, FL zip 34142 City/State ZiP 3. Name 4.. Name Address Address City/State Zip City/State Zip y ATI 4(14 Aa0.1110:VM,CLIVAT SitTKETS..15X&C,ESSARV3 State of Florida 4 \\,......_ County of Collier Lobbyist gnature r.....),, This reg" tr. "I: was swit pt (or affunmed) and gilbSeltibeit before ire this (6:2 day oflart-12.g.4.... 20 -.iptY Personally Known BY: A i 11: i / dia 0 /A 4.., ! Produced ID -.N., Deputy 'ler 1 °wry. Public Type of LD Produced j)Avyks/1 za.riot, i • ""... KELLIE LEEANN MUNROE iiryNotaryPCommissionu 1bliSf:Gt 387:41a My Commission Expires ' :Revised:0812019 I, ...'4,s, Sop1e m bet 29.2023 Receipt# 008177276 2/13/2020 2:39:58 PM ;µar,,,,j Crystal K. Kinzel Clerk of the Circuit Court and Comptroller N...1,'' iii ,11kj)/‘ 0 gcr? @—K ,, ,,, _ ,-,--A____ L - _L....„ 0 ER - - _p 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. `='g0[11@Ta@ggin Page 1 of 1