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Adamaczyk, Steven J Lobbyist # A-30100 Peck & Peck, PA Lobbyist Name: Steven John Adamczyk E-mail: stevepeckandpecklaw.com Date Received Details I I O 1 o(o g —Sf 9109 6- 34 !40 'VD 4 Gi County of Collier e CLERK OF THE CIRCUIT COURT 4 _ O LN � � I ri =-' 7q COLLIER COUNTY COURTHOUSE L) :'10 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 �U tom"{' Dwight E. Brock ORIGINAL Clerk OFFICIAL RECEIPT When Validated BY: ANN J DEPUTY CLERK RECEIPT: 5572640 DESCRIPTION AMOUNT NAME : STEVEN JOHN ADAMCZYK LOBBYIST 25 . 00 PAYOR: STEVEN JOHN ADAMCZYK REFNC : APJ DEPT: BOARD MINUTES AND RECORDS TOTAL DUE : 25 . 00 Page 01 of 01 - 30( 00 Board Minutes & Records Expires 3301 Tamiami Trail East Building F,4th Floor Naples,FL 34112 BOARD OF COUNTY COMNIISSIONERS LOBBYIST REGISTRATION FORM Name S4e.tev, Tot", AA"At- l4- Date ? /// $ Iv $ Business Address n I rib c a ti 13,144 Stud ud # /DS Ac pier 1 fL- 34004 Business Telephone 2 3q Z6 ? G rn E-Mail 5 frat eck Gnq e e c k i ev . w NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). / 1; Ia, D kec<E4 :tit,. i t IjcPric /''ia rccllo C- f. k)4 ples , it, 21111r 2). PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY Clime bbyist ignature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this day of • by 5ek_rA I , who is personally known to me or has produced mil_ O1� L-_ as identification and who did take an oath. BY: lJ�4. '' Deputy Cler of Public ' *' The annual registration fee is $25.00 per Lobbyist, according to Collier County '' O� 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).