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2012/2013Clerk to the Board, Minutes & Records Dept. Expires q / 2013 3299 Tamiami Trail East, Suite #401 (Staff use only Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Matthew D. McLean Date September 12, 2012 BusinessAddress4500 Executive Drive Suite 110 Naples, FL 34119 Business Telephone 239 - 877 -8546 E -Mail matt@mcleanengineeringllc.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) See attached sheet 2). (PLEASE ATTACH ADDITIONAL SHEETS, IF NECESSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed be re me on th> day of ��c12._, byT�U lfl�who is ersonallYknown t me KIMBMY PEARCE WILBER MY COMMISSION # EE 103974 11 EXPIRES: JUne 28, 2015 BY: Banded Tnru Wwy Public Undennitem 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). Naples Zoo 1590 Goodlette -Frank Road Naples, FL 34102 Orangetree Associates 4500 Executive Drive Suite 110 Naples, FL 34119 Orange Tree Utility Company, Inc 4500 Executive Drive Suite 110 Naples, FL 34119 Cypress Associates 4500 Executive Drive Suite 110 Naples, FL 34119 F �SEP 14 �TT 2012 Dwight E. Brock Clerk of the Circuit Court cei D PO Receipt# 007278211 9/14/2012 8:39:20 AM Customer Deputy Clerk Clerk Office Location MATTHEW D. MCLEAN BMR CASHIER Collier County Govt. Center MCLEAN ENGINEERING, LLC MinutesandRecords @CollierClerk.co Building F, 4th Floor 4500 EXECUTIVE DR STE 110 m 3299 Tamiami Trail East, Suite NAPLES, FL 34119 -8908 239 - 252 -2646 401 P.O. Box 413044 Naples, Florida 34101 -3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check# 1001 ($25.00) BALANCE DUE $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. ���00QT@0(w g&g om Page 1 of 1