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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: '1/ :2JJfl I BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Rae Ann Boylan Date: 2010-09-22 Business Address: Boylan Environmental Consultants, Inc. 11000 Metro Parkway. Suite 4 Fort Myers. Florida 33966 Business Telephone: +1 (239) 418-0671 Email: raeann@boylanenv.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Rae Ann Boylan Boylan Environmental Consultants. Inc. 11000 Metro Parkway, Suite 4 Fort Myers. Florida 33966 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY E~~~ State of Florida J c. ~ County of Gellil!f l-;UL The foregoing registration was sworn to and subscribed before me on this 22nd day of September, 2010 , by Rae Ann Boylan , who is personally known to me ... or has produced as identification and who did take an oath. "....~ '(J~ Notary Public State of Florida ,f ~ <:;,. Judy C Perrella ::. c " " My Commi$sion 00778200 ...-} o~ Expires 05/17/2012 Off" Bv:b C. ~UJuJ2e~ Deputy Clerk/Notary 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# 007108478 9/27/20108:58:27 AM Dwight E. Brock Clerk of the Circuit Court CQXrvo@o([)O ~@@@o[Pts Customer RAE ANN BOYLAN, ALlCIAL LEWIS & KIMBERLY SCHLACHTA BOYLAN ENVIRONMENTAL CONSULTANTS, INC. 11000 METRO PKWY STE 4 FORT MYERS, FL 33966- 1210 Deputy Clerk BMR CASHIER M in utesand 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 3 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 09813 BALANCE DUE: AMOUNT $75.00 $75.00 ($75.00) $0.00 ~@OOO@[J{t:;O@[f[%o @@[ffJf) Page 1 of 1