2005/2006
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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
Dwight E. Brock
Clerk
ORIGINAL
Vi: 3658184
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OFFICIAL RECEIPT
When Validated
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ltl.\.
Me AMT PAID:
25m 00
25.00
BY: ANN J
DEPUTY CLERK
RECEIPT: 4656281
DESCRIPTION
AMOUNT
=============================
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PAYOR:
REFNC:
NANCY ANNE PAYTON
NANCY ANNE PAYTON
LOBBYIST
25.00
NAlv1E :
APJ
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
Collier County
3301 Tamiami Trail East
. Naples, FL 34112
Expires ~
BOARD OF COUNTY COMMISSIONERS
LOBB~ REGISTRATION FORM
Name /iA~rJ~ Date S/3~!tJ0
BusinessAd~ress -:k~;~!;}ti::!: itJ;~
'2cJ70 .~J ~ ~~(OS-:]~.
Business Telephone ft, '-f '3 - 4// ( E-Mail~~f J1r f0t?1J/2-L1<-[JJ,.;u1
NAME AND ADDRESS OF EACH PERSON QR ENTITY REPRESENTED:
1). '1&utL~ W ~~~J;;.0
20 D ~Q..~ / - -. - a.-/l. L~J -..-pro s
7L~ 7f 3Cf-(u ~
2).
~
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"
PLEASE A TT ACH ADDITIONAL SHEETS IF NECESSARY
Lobbyist
State of Florida
County of Collier
, '
,,-"
. . . . . (f . . "
The foregoing registration was sworn to and subscribed before m
day of ~u _, by 2.000 ' who'
meor~
who did take .m oath.
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er~nall7'bti>wn to J.:,""
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BY;~~~~
Deputy ClerkINotary Public
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2004-05