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2011/2012 Board 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: Brian Holley 'j.1- Date: 2011-09-29 Business Address: Naples Botanical Garden. Inc. 4820 Bayshore Drive Naples. FL 34112 Business Telephone: +1 (239) 643-7275 Email: bholley@naplesgarden.org NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Brian Holley Naples Botanical Garden 4820 Bayshore Drive Naples. FL 34112 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY 0-- l~ "--r:obbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this Z 2. day of 6!;()"'TEH.BE:e- 20 t l I by ~12tA~ \-\oL.L6'1' I who is personally known to me or has produced "P~t-JALl.-,{ ~"-.)Oc.Vu as identification and who did take an oath. :............................................. ~ : CHRISTIE L. BRIGHTON :. ~. J..L-' ~_ . ..\111111, . BY: : ,~v p.4::~ Comm# 000886674 : . .i~~~ . i \~~~i Expires 6/26/2013 i Deputy Clerk/Notary Public : ~",~r.i.\~ Florida Notary Assn.. Inc i The annual registrati~~.f;;;.i;.$.i5.:00..per.r(i"6liyist, 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 DeDuty 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@a1kc@@OUi) Page 1 of 1