2004/2005 W (Q77O0
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COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
I uLOBBYIST REGISTRATION FORM
NAME ‘J e' r.-e 1 - N C1•� ✓\ r- DATE 13 _
BUSINESS ADDRESS NA L) ,r-1 4_1-- 6' v----0 (...f> L_ L C_
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NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) 8 e.�`r� rv) a i n g NA :1)
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2)
ATTACH ADDITIONAL SHEETS AS MAY BE N
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ESS
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Lobbyist Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The re of fore 9 9 istration as sworn to and sub cribed before me on
nA ,
this the _ day of ,;206 -; by
who is personally known to me or w has produceal� ,� _.d�.CZLL
entification and who did take an oath.
n.: c.1 ..9 MY COMMISSION#DD 358559 ,
bv'erI ; _ /r
•a EXPIRES Seplenv 27 2008 BY
i tiQ:'' toned Thru Notary Public Underwriters
De uty Clerk/Nota •,- .lic
Please Note: 1) Failure to renew this registration by the renewal
date of October 1a° will result in the placement of this registrant on
a status unknowns list. 2) If one wishes to revoke this
registration, a •Lobbyist Withdrawals form must be filed with the
Clerk to the Board. 3) Annual 1egistration Fee is $25.00 per
Lobbyist according to Ordinance 99-22
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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 #: 3438372 01/14/2005
When Validated
CHECK: nr
BY: HEIDI R C AMT P._L': � �%%
DEPUTY CLERK
RECEIPT : 4431470 DESCRIPTION AMOUNT
NAME : JEFFREY A. NUNNER LOBBYIST 25 . 00
PAYOR: JEFFREY A. NUNNER
REFNC : HRR
DEPT: BOARD MINUTES AND RECORDS TOTAL, DUE : 25 . 00
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