2007/2008
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT: 5289013
NAME :
AMBER CROOKS
AMBER CROOKS
PAYOR:
REFNC:
APJ
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
DESCRIPTION
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'.t#: 4277209
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CT AMT PAID 25.00
AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
Collier County
3301 Tamiami Trail East
Naples, FL 34112
Expires
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name -=t3::rhJ3 E ~ (',~CO IL5
Business Address \ '*~() Me f r; h v-e 1) 'f'.
Date \ 0 I I 2.1 c 1-
I
~k) ('PL- 3'-f lOL
ei f--28'=> .
Business Telephone .:z 31, 2~ 7., 07,0 Y E-MaIl 0 mh e V' c- @ ( "-"",<'P <Y",,^L(j- , <rt J
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). Ctrn 5-t'v' VlA./n.(;1 ~{ Slt1/ PL
/Y"5D /VlY'rrt ohv-e D (' .
N~1L),' R- '3 Y(~7~
2).
PLEASE A TT ACH ADDITIONAL SHEETS IF NECESSARY
O_l~C---
Lobbyist Signature
State of Florida
County of Collier
The foreg~~Il$ rriistration was sw rn to and subscribed before me on this \ 0-"'"
day of \ (:TW\ D:t 1~"\)b1r , who is personally known to
me or has produced '- as identification and
who did take an oath.
By:_(L", J.!~
Deputy Cle; Pu.-
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2004-05