2003/2004 •
ExiP
ZOO 3/t
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM t�-
NAME J e rt /'t - I ":/Vl✓fir 1� DATE I — 12- - U
BUSINESS ADDRESS N U (r-%(-O ' e t, L- L
I ( 3 1-- o(-" ,n k- Pv-,
L 3Li-1 o
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) c le ve, )6 t,,ct C Jct.
( 101 $' t'n dry a (��, dl
N (es , C� 3 f/ /
2) S k e_ I `-a t- -t a( 5
PV ev <<e.S,
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
n
Lobbyist Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoin%epistratiop, was sworn to and subscribed before me on
this the j day of by ""T�-( J mut i't0 (,
who is p onally kern to me or Who has produced 0
—as—ident i f'•c- • on and who di• -ke an oath.
BY pavd r ,I
Melanie Gonzalez : �R�,j/ erk/ •tary - - is
.* '• MY COMMISSION# DD266155 EXPIRE:
_ . y Novembell.200;
R �: ase+DENGt,OiANMRANFailure to renew this registration by the renewal
date of October 1" will result in the placement of this registrant on
a "status unknown" list. 2) If one wishes to revoke this
registration, a "Lobbyist Withdrawal• form must be filed with the
Clerk to the Board. 3) Annual Registration Fee is $25.00 per
Lobbyist according to Ordinance 99-22
N cameo
clim)Lf
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
BY: ANN J V#: 3154976 01/14/2004
DEPUTY CLERK
CHECK: 25.00
MC AMT PAID: 25.00
RECEIPT: 4140022 DESCRIPTION AMOUNT
NAME : JEFFREY A. NUNNER LOBBYIST 25 . 00
PAYOR: JEFFREY A. NUNNER
REFNC: APJ
DEPT: BOARD MINUTES AND RECORDS TOTAL DUE : 25 . 00
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