2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name pn/li:EAJ Cuf!l1 Tp I-{) Date
Business Address Cf3/A 1171 [NTl72PRI5E
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Business Telephone 2 y! 13({' .0/ [) ()
E-Mail k!t.fi0/@Ct3IA.ne+
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSAR
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Lo byist Signature
State of Florida
County of Collier
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subscribed before me ol'\.thls: ilJoljP >.....:-.
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, who IS personally .lin9.vIl}Q'? : 0""
as idefuitiea'lion <@l .:': 0"
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BY: li",1
Deputy Cler
Tbe annual registration fee is $25.00 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
Dwigbt E. Brock, Clerk of Courts (at the address listed at tbe top of the form).
Receipt# 007094339
7/26/20101:43:40 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
KATHLEEN CURATOLO
COLLIER BUILDING
INDUSTRY ASSOC
4779 ENTERPRISE AVE
NAPLES, FL 34104-7042
Deputy Clerk
BMR CASHIER
M inutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Gov!. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($2500)
$0.00
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