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2002/2003County 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: PATRICIA M DEPUTY CLERK RECEIPT: 3987902 NAME : ANDREW WOODRUFF PAYOR: ANDREW WOODRUFF REFNC: PLM DEPT: BOARD MINUTES AND RECORDS ,c is ... 'Cl Mr; 4"MT PAID: 25.00 DESCRIPTION AMOUNT LOBBYIST 25.00 5 TOTAL• DUE s 25.00 Page 01 of 01 W-a56G0 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME APPP,15W Lk)ooDPL4FF DATE �IaE I03 BUSINESS ADDRESS rogr M'/F,25 FL 339i 5 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) r-CoJEA)rJ(LC W1661fJ5 F/g55 &-FQ (01 &4s'hw �lo� SU,lo %0 7A714P4 Fl- 33C06 2) 1 CCoIsI-CAJP LN(-. [✓� a.b C1 �2 ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY L bby t Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me on this the �( day of .%lf�E1L6G3 by kPAEsJWsaA&v-t- who is personally'known to me or who ae produced dent ificat on and wh did eke an oath. VICKI GROTHER 1�..^ M. COMMISSION M DD 170076 (� :i? v BY A•. '- EXPIRES'. January 19, 2007 notleaTn NWarvPua untlereMers Deputy C1 /Notary Public Please Noteo 1) Failure to renew this regis ation by the renewal date of October 1ib 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 Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22