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2012/2013
Clerk to the Board, Minutes &Records Dept. Expires �// I ) 3299 Tamiami Trail East, Suite#401 (Staff use on Building F,4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Steven C. Hartsell, Esquire Date 09-27-2012 Business Address Pavese Law Firm, Post Office Drawer 1507 Fort Myers, FL 33902-1507 Business Telephone 239-336-6244 E-Mail stevehartsell @paveselaw.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) CEI Kensington, Ltd. c/o Cargill Investment Group, Ltd. 155 Federal Street, Suite 203 Boston, MA 02110 2). ULI Southwest Florida 12355 Collier Blvd., Suite B Naples, FL 34116 (PLEASE ATTACH ADDITIONAL SHEETS,IF NEC' 'ARY) A _,._ A Lobbyist Signature State of Florida County of ri-SE The foregoing registration was sworn to and subscribed before me .• day ofa0+ 1012- , by 64.e...0-€A 0.t} 1 Se(I , who .- •nal ly known to me or has produced as identification and who did take an oath. u� Notary Public State of Florida Laurie L Commission EE 1 BY: la My Commission EE 179675 a w Expires 05/06/2016 Deputy Clerl sary Public The annual registration fee is $25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and mail to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (at the address listed at the top of the form). Receipt# 007283405 10/4/2012 2:16:32 PM t_(t„,,T, Dwight E. Brock Clerk of the Circuit Court f o ffEErc- ,,, _, c, D, , , •___.,=, ER _ __., ° )(c-7(, ,, io Customer Deputy Clerk Clerk Office Location STEVEN C. HARTSELL, ESQ. BMR CASHIER Collier County Govt. Center & KETHLEEN OPPENHEIMER MinutesandRecords @CollierClerk.co Building F, 4th Floor BERKEY, ESQ. m 3299 Tamiami Trail East, Suite PAVESE LAW FIRM 239-252-2646 401 PO BOX 1507 P.O. Box 413044 FORT MYERS, FL 33902-1507 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check# 118922 ($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. ©di IiihT©lk;ITOCKogglE2 Page 1 of 1