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2011/2012Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 2012-09-30 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Shannon Palmer dJ,-- Date: 2011-09-~ Business Address: Naples Botanical Garden. Inc. 4820 Bayshore Drive Naples. FL 34112 Business Telephone: + 1 (239) 643-7275 Email: spalmer@naplesgarden.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Shannon Palmer Naples Botanical Garden 4820 Bayshore Drive Naples. FL 34112 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this Z1- day of ?G\?-rC;Ul?>8< '2-0 II ,by 0AAN~OIJPAl-k5l2- , who is personally known to me or has produced "Pe~tJAU-Y I4.JOLD~ as identification and who did take an oath. : II... II II.. II..... II.. II.... II.. II.. ......... : CHRISTIE L. BRIGHTON : . ","UIII . : ~~v""tl::~ Comm# D00886674 : . ~~~~ . : ~<i'lll ,..ii Expires 6/26/2013 5 .~:~~.::> . : "',,,lff.r.f,\~ Florida Notary Assn.. Inc 5 ... II ..... 11.11 II 11..1. II...... II II ........... Ii BY: I . r lJ (/ ~ l,'t)/Jfc, \~ ",1'1)/\ \:,'~ i'k i , 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# 007190222 9/29/2011 12:33:49 PM Dwight E. Brock Clerk of the Circuit Court Customer NAPLES BOTANICAL GARDEN 4820 BA YSHORE DR NAPLES, FL 34112-7336 Deputy Clerk BMR CASHIER MinutesandRecords@CollierClerk.co m 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3299 Tamiami Trail East, Suite 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION 3 BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE Check# 16826 BALANCE DUE AMOUNT $75.00 $75.00 ($75.00) $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. @@DD~@a@D@ofuc@@OiJi) Page 1 of 1 • • • • • • • • , fit MY..M�k Naples Botanical : Garden 4820 Bayshore Drive Naples,FL 34112 Memorandum Date: June 22, 2012 To: Clerk of the Circuit Court Minutes and Records From: Chris Brighton Naples Botanical Garden, Inc. Subject: Quarterly Lobbyist Registration -and- Changes to Registration Annual Lobbyist Registrations and fees for Brian Holley, Joyce E. Zirkle, and Shannon Palmer were submitted September 2011. Changes to Naples Botanical Garden's lobbyist listing for the Quarterly Registration period of July - September 2012, as follows: • Add Nicolette V. Beard— Payment of $25 submitted this date (6/22/12). • Remove Shannon Palmer. • Brian Holley and Joyce E. Zirkle to remain on the listing. If you have any questions or require additional information, please contact me at: Naples Botanical Garden, Inc. 4820 Bayshore Drive Naples, FL 34112 (239) 643-7275 cbrighton @ naplesgarden.orq This project is sponsored in part by the State of Florida through the Florida Department of State,Division of Cultural Affairs,and the Florida Arts Council, Collier County and the Collier County Tourist Development Council. 4820 Bayshore Drive phone 239.643.7275 email info @naplesgarden.org Naples,FL 34112 fax 239.649.7306 www. naplesgarden.org