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2004/2005g/o5 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: LINDA HO DEPUTY CLERK RECEIPT: 4349915 NAME : ANDREW WOODRUFF PAYOR: ANDREW WOODRUFF REFNC: LAH DEPT: BOARD MINUTES AND RECORDS V#: 335895. 10/01i2004 CHECK* 25.00 MC AMT PAID: 25.00 DESCRIPTION AMOUNT --------------------------------------- --------------------------------------- LOBBYIST 25.00 TOTAL DUE: 25.00 Page 01 of 01 Lo - q S &0�0 q[ 05 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME BUSI NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) 2) ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY A� Lobbyislit Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration wa swo �nd Bub r1 � d before a on this the f� of�l..f by {�j l) whrl, me or who has produced .;. dentification and who did take an oath. F� My Carmssion ,� r { =<<y� ti¢ Commission K OUQ 5 BY: ��Qr ©orded Ew Nations! Nc,.vry�s•r- •••^ Deputy Cle /N ary ublic Please Hotat 1) Failure to renew this registration by the renewal date of October 10° 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