2009/2010
(7- ~)q(oDD
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
f.xpires: 2001=.1-0-08 1
EXP' qjuJ,C
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Date: 2009-08-17
Name: Brian Keith Grant
Business Address:
10950 Grandview ST
Overland Park. KS 66210
Business Telephone:
+1 (239) 823-4826
Email: grantbk@overlandcontracting.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
l.B6a~ :nd y~atch - 10950 Grandview ST. Overland Park, K5 66210
2.. ov~r'and cuntra:ing, s~man Rd, Conyers, GA
3. FL_ TV. 5775 MJehous_Drive. San Diego. CA 92121
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
~6d
Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this j q
day of AjIA f, +- (;w;'1' by f?;.iu/I It', 6ra~j-
or has produced 0 ,"d 1)/( 'vel"" L,(-eAIe
, who is personally known to me
as identification and who did take
an oath.
d'1 ~ JOANN T. FORTE
~~ oc lI.\Y COMMISSION 4t DD590535
~_..~ EXI'I"E8: Au!!. 30, :lO10
"tOf\\.<S --"--
I4@fl ~\lil I'lIlrida Nll4tIIY ..-----
The annual registration fee is $25.00 per Lobbyist, according to Collier county Ordinance No.
2OO3-53,a5 amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and
mail to:CoIlier County Cleti< of eourts or Dwight E. Brock. clerk of Courts (at the address listed at
the top of the form).
Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007013934
8/19/2009 1 :31 :44 PM
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Customer
BRIAN KEITH GRANT
OVERLAND CONTRACTING
10950 GRANDVIEW ST
OVERLAND PARK, KS
66210-1565
Deputy Clerk
BMR CASHIER
Minutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOT AL AMOUNT DUE:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
Page 1 of 1
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