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2010/2011 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 EXPires~ BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM ])'tN\OrJ .=r;rJe-S Date , D II " 0 Business Address Pc "lbo}(.. qqOa'lf r N^PIES. FL 3~lllo (~LlN{;..) (f~s f (A..l. ) \ '-> 0 0 c> .r M 1\1'\0 I' A '-t::.-e 2. C I J-..j "Pl e:s f H... .!>4 ( Z.O Name Business Telephone 304. \ SO to E-Mail bJOf\e...sc..JOI\l.SMfnl~.c.cM NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). C. 0 \...LI ~r.2- A f::,~E6ATf:S) LLC- \ W So A Me A oS ~bcV'a. \..( 2). JO~E:S N\NtrJ.& CoM.~ I II r rt S~""'t=. 1\ ~ A~o\,f~ ., PLEASE ATTACH ADDITIONAL SHEETS IF NECESSA State of Florida County of Collier 'fJJ.,.. MlCHEU.E ROUSSEAU ... :'i'~ MYCOMMISSION.DD738164 BY. : i EXPIRES: March 30, 2012 . BondedThruNo\alyP\lllllOUnrlIrwl1\tIra Deput ClerkINotary 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). Dwight E. Brock Clerk of the Circuit Court Receipt# 007113696 10/18/20103:20:51 PM Customer DAMON JONES COLLIER AGGREGATES, LLC PO BOX 990099 NAPLES, FL 34116-6059 CQ)vvFJ@~D([[O l~~@j(~@~UDG 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 TOTAL AMOUNT DUE: Check# 2091 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~@U U O@!l~U@!l{J:fo ({;@[fiJ[) Page 1 of 1