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Milarcik, Donald
Lobbyist # M - 41030 I M Collier Joint Ventures Lobbyist Name: Donald Milarcik E-mail: Date Received Details 4 ` 2% I a OW) C m Inc{i�� - Efp iti©`f Saved as:(Q drive)Lobbyist Data Sheet 1 030 P o4��E CifpC4,, County of Collier ��t11//�j CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE U 4:44, 1��\ 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 Ck<tt NAPLES, FLORIDA 34101-3044 cOUty"4 Dwight E. Brock ORIGINAL Clerk OFFICIAL RECEIPT When Validated BY: TERESA D V#: 463= 39 04/28/2009 DEPUTY CLERK CASH: •1 • 0 MI MlW PAID: 25.nn RECEIPT: 5660149 DESCRIPTION AMOUNT NAME : DONAL MILARCIK LOBBYIST 25 . 00 PAYOR: DONALD MILARCIK REFNC: TLD DEPT: BOARD MINUTES AND RECORDS TOTAL DUE : 25 . 00 Page 01 of 01 . IN) _ L___i 0 3 a Board Minutes &Records Expires 9 /0 q 3301 Tamiami Trail East Building F,4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name D IA(C..� C�� YY1 (Q►� k-- Date ' i1Business Address 6r :t-' -� lkg-.-7 , - I Business Telephone E-Mail NAME AND ADDRESS OF EACH PERSON t ENTITY REPRESENTED: I). ►' dr IL-4 , . -,Ai 2). PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY , P /J7L Lobbyist Signature State of Florida County of Collier The foregoing e istration was swo to and subscribed before me on this X411 day of +Y‘ ,by A i ,I , 2trZ , who is personally.inown°t ••-••-"'•v�•\ � me or has produced FL- P- /0/ as identr icatron who did take an oath. ;, .,, 6 BY: • �j ' ti.: •eputy Clerk/Notary�u 7.•s ••••..•••e ° ��'�,,z. The annual registration fee is $25.00 per Lobbyist,according to Collier Cou , ,,,,,,,�,,,,%°� Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24. x ., ,� a 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).