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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 2011-09-30 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Joyce E. Zirkle Date: 2010-10-01 Business Address: Naples Botanical Garden. Inc. 4820 Bayshore Drive Naples. FL 34112 Business Telephone: + 1 (239) 643-7275 Email: jzirkle@naplesgarden.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Naples Botanical Garden. Inc. 4820 Bayshore Drive Naples, FL 34112 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY fik&re <('. LA 1. Lob 1St Ignature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this t day of Ot--fo"&6e. 2011:) , by -:s 0'1 t.&. B. '2.( ~,,~ , who is personally known to me or has produced 'P~~p.u..'{ ~~t)~ as identification and who did take an oath. ~.. ~ tIS...... ...... II' ..... II ...... II.. .......... : CHRISTIE L. BRIGHTON : S .,\"!!'!h"" Comm# 000886674 e :/. \ : : "'W. "f Expires6l26l2013 : . . i florida Notaty Assn., Inc : "'1,.1. ............ '" II II' ...... .............; BY: ~'[j.~ .l;)eputy Clcl'k"/Notary Public <!M'~?\I~ L.. l)e.\6~-r~ 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# 007109971 10/1/20103:27:17 PM Dwight E. Brock Clerk of the Circuit Court @VVO@OE[lO ~@@@D~U Customer NAPLES BOTANICAL GARDEN 4820 BA YSHORE DR NAPLES, FL 34112-7336 Deputy Clerk BMR CASHIER M inutesand 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# 15248 BALANCE DUE: AMOUNT $75.00 $75.00 ($75.00) $0.00 ~@O 0 0 @u~ 0 @u[ko ~@[ffJfJ Page 1 of 1