2000/2001
F~ECE
PA'lC
PEF:
DEP"'
County of Collier
CLERK OF' THE' CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 33941-3044
.
. .
Dwight E Brock
Clelk
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OFFICIAL RECEIPT
When Validated
..f~-i;3;fioo ;-
BR .,. 'J. ~H OF' iCES:
C( lL DEN C.ITE
4839 GOLDE N GAl! PARKWAY
GREENTRE:: SHOPPING CENTER
2386 1fl.1MOKAL.EE ROAD
I'AMOKAL.EE
101 S FIRST STREET
MARCO ISL.AND
1040 WiNTERBERRY DRIVE
=\
Dwight E. Brock
Clerk
------ ~-._-- -~.-"- -- .--- ----. -"- -"- - - - - - - - --~-- ---- -..-
County of Collier
CLERK OF TIlE' CIRCUIT COURT
COLL.lER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL. EAST
P.O. BOX 413044
NAPLES, FLORIDA 33941-3044
OFFICIAL RECEIPT
When Validated
cpo
00
VO
BRANCH OFFICES:
GOLDEN GATE
4839 GOLDEN GATE PARKWAY
GREENTREE SHOPPING CENTER
2386 IMMOKALEE ROAD
IMMOKAL.EE
101 S. FIRST STREET
MARCO ISLAND
1040 WINTERBERRY DRIVE
~~L:tIER COUNTY
..
. . 3301 Tamiami Trail East
Naples, Florida 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST R~ISTRATION FORM
NAME ?2~ ~ ~ DATE '1/9/99
BUSINESS ADDRESS L ~ d~
· ;2.. Llo
/70(~ Ft-
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
't/.IYlL#Lt w~ ~.
~'1()(;)7 ~ ~
(]{ 1L ~ efl () 3
tv
~57 ~ ~
?7~..:J. ti, a.. r+IO ,j
3 Lllo 3
1)
-If 2 C/o
2)
ATTACH ADDITIONAL SHEETS AS
MAY~:~~
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on
this t~----'-~-- of . , by
who is~rSOnallY know 0 ~ ~r who has pr~duced:
- -- as J. ntJ. catJ. ., nal wpo, dJ.d, ,take an oath.
. ,'.,' '''4:\
B .
~uty Clerk/No~ry Public
:i ",' , ,~~;,
"~'-.~
Please Note: 1) Failure to renew this:c!!g'istrati,c)~~'by the renewal
date will result in the placement of 'eni..s. .r.egls~tt:8:nt. on a nstatus
'/", '.' "" ~,.
unknownn list. 2) If one wishes to reV'~~' d~i;Il;t..S:' registration, a
nLobbyist Withdrawaln form must be filed with the Clerk to the Board.