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2012/2013 Clerk to the Board,Minutes&Records Dept. Expires ) 13 3299 Tamiami Trail East, Suite#401 (Staff use on Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Stuart H. Sakwa Date 11/07/12 Business Address 515 N. Flagler Drive, 6th Floor West Palm Beach, FL 33401 Business Telephone 561-833-9800 E-Mail shsakwa @arnstein.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Poole & Kent Company of Florida 1781 N.W. North River Drive Miami, FL 33125 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) i /A Lobbyist Signature State of Florida County of Collier The fore oing registration was s rn to and su ribed before me on this Cl-4- o ,by y72sLYf i14C'-tc.,-who,$. personally kno • o me or has produced as 1--1 'cation and who did take an oath. • /(-=-Ce.,-14 "-e_.-- - Ut ADUNNE BY: My CON�IISSION t EE 113346 Deputy Cler otary 'ub l i , ,r 2 EXPIRES:July 18,2015 The a ‘" Jae,_%.. ---' ' 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#007295909 11/28/2012 9:01:18 AM Dwight E. Brock Clerk of the Circuit Court fix ; 15 °H]f_ �J Customer Deputy Clerk Clerk Office Location STUART H. SAKWA BMR CASHIER Collier County Govt. Center STUART H. SAKWA, P.A MinutesandRecords @CollierClerk.co Building F, 4th Floor 515 N. FLAGLER DRIVE, 6TH m 3299 Tamiami Trail East, Suite FLOOR 239-252-2646 401 WEST PALM BEACH, FL P.O. Box 413044 33401 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# 1024 ($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. ©CD[I UM®Tgil® @orga Page 1 of 1