1999/2000
Dwight E. Brock
Clerk
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County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMl TRAIL EAST
P.O. BOX 413044
NAPLES. FLORIDA 33941.3044
OFFICIAL RECEIPT
When Validated
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BRANCH OFFICES:
GOLDEN GATE
4839 GOLDEN GATE PARKWAY
GREENTREE SHOPPING CENTER
2386 IMMOKALEE ROAD
IMMOKALEE
101 S. FIRST STREET
MARCO ISLAND
1040 WINTERBERRY DRIVE
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COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME MIt:.JIAlS.L A. MCirl'fi:.1C...J tJL'(~ ~.A~I DATE f-/z~loo
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BUSINESS ADDRESS 501.1 1'AHIAHI -1f-, ~-r
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NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
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Lobbyi~ signature
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STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on
this the ;fI1 day of -:TLul.( JJ)ri) , by . ,,'
who is personally known to me or who has produced F-k, biL." ,
as identification and who did take an oath.'
BY: J~\~ i~ lkf;{~J:>-
D puty cleri/Net~~~ :~ubltc
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Please Note: 1) Failure to renew this registration by'tha iel;1eW:\lP
date will result in the placement of this registrant ona "Stlltus
unknown" list. 2) If one wishes to revoke this registration, a
"Lobbyist Withdrawal" form must be filed with the Clerk to the Board.