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2011/2012 Collier County Clerk of Courts Expires 0 ' 4'4 3299 Tamiami Trail E. (Clerk's o ee only) Suite 401,Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Burt L. Saunders, Esq. Date 10/3/2012 Business Name GrayRobinson, LLP Business Address 8889 Pelican Bay Blvd., Suite 400 City Naples State FL Zip Code 34108 Business Telephone 239-598-3601 Contact Person Daphnie Ricobene Lobbyist E-mail burt.saunders @gray-robinson.com 50.00 for years 2012 and 2013 Notice for Lobbyists: The annual registration fee is$25.00 per Lobbyist, per Collier County Ordinance No. 2003-53,and amended by Ordinance 2004-05 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwight E. Brock. Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1.Name Orangetree Associates 2. Name Naples Community Hospital Address 4500 Executive Drive Address 350 7th Street North City Naples Zip Code 34119 City Naples Zip Code 34102 3. Name Orangetree Utilities 4.Name City of Marco Island Address 4500 Executive Drive Address 50 Bald Eagle Drive City Naples Zip Code 34119 city Marco Island Zip Code 34145 -(AY TA N-ADDITIONAL--etIENT-SHEETS,-1F NECESSARY)- - - ——---- State of Florida County of Collier i 4/1� �i ,40 obbyist Signature � s registration was swor�,(or affirmed?and subscribed before me this //`' day of, s- , 20I? , by b-cti4 C - . X Personally Known BY:%(4 w - Produced ID NOTARY PUBLIC-sit lI 9IMO otary Public Type of ID Produced OCT 1 0 2012 Leslie Joan Yurkovac a Commission#. E^18443 'ati,,,,...$Expires: AUG.18,2014 Revised:08/2011 BONDED TBRU ATLANTIC BONDING CO..INC. Burt Saunders, Esq. - Additional Lobbying Client List North Naples Fire Control and Rescue District 1885 Veterans Park Drive Naples, FL 34109 Emergency Management Specialist, LLC 745 Memorial Drive Atlanta, GA 30316 Country Club of Naples 185 Burning Tree Drive Naples, FL 34105 STABILE BUILDING GRAYROBINSON 5551 RIDGEwOOD DRIVE SUITE 101 FORT LAUDERDALE ATTORNEYS AT LAW NAPLES, FLORIDA 34108 JACKSONVILLE TEL 239-598-3601 KEY WEST FAX 239-598-3164 gray-robinson.com LAKELAND MELBOURNE MIAMI NAPLES ORLANDO VIA REGULAR MAIL TALLAHASSEE TAMPA Collier County Lobbyist Board Minutes and Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 RE: Change of Address Notification This letter is to request that you change your records to indicate our new address effective July 16, 2012. GrayRobinson, P.A. Pelican Bay Financial Center 8889 Pelican Bay Boulevard, Suite 400 Naples, Fl 34108 Thank You for your attention to this matter. Sincerely, MaryBeth Berkley Office Administrator \980014\1 -# 100184 v 1 www.gray-robinson.com •••••••• •••*** ••••"" ;-■ 0 'rrn •••** ••" '1"4 • •••0 1.."1 ••••••■1 C) -0 -0 •al rNi ci) •••••I 71- 4—•• +4 g C) rj U 8 to 4-4 .0 ;-■ 1••■-• „2.4 •••-1 ■•—• (:::) ••. V:14 rn C) 4 en 4 iv) ziT) (\I .:..$ C/) 1■ 1 AC1 z r=4 — CZ4 Com• Receipt# 007287071 10/19/2012 2:23:59 PM { ;1 Dwight E. Brock Clerk of the Circuit Court ';ttf K-jTh-7( -) Customer Deputy Clerk Clerk Office Location BURT L. SAUNDERS, ESQ. BMR CASHIER Collier County Govt. Center (2011/2012 & 2012/2013) MinutesandRecords @CollierClerk.co Building F, 4th Floor GRAY ROBINSON, LLP m 3299 Tamiami Trail East, Suite 8889 PELICAN BAY BLVD 239-252-2646 401 STE 400 P.O. Box 413044 NAPLES, FL 34108-7512 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 2 BMR Lobbyist Registration $25.00 $50.00 TOTAL AMOUNT DUE $50.00 Check#345353 ($50.00) 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. ©CA UhlT©11®ffEcKoggn Page 1 of 1