1999/2000
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County of Collier
CLERK OF THE CIRCUIT COURT
BRANC r' CJ~T C (::-:;
GOU)! r>..; G;-,1E
4839 GOLDE'\J ,AT! PAPI<INAY
COLLIER COUNTY COURTHOUSE
3301 TAMIAM\ TRAIL EAST
P,O. BOX 413044
NAPLES, FLORIDA 3394 '1-3044
GRE~::NTREE S1-"OPP i'G CE NTER
2386 IMMOKA.LEE ROA')
IMMOKAU:L
101 S_ F!PST STREFl
Dwight E. Brock
C1er~
MARCO ISL:\ND
1040 WINTEPBEPRY CRIVE
OFFICIAL RECEIPT
When Validated
.$ - /~?t10
COLLIER COUN'rY
3301 Tamiami Trail East
Naples, Florida 34112
NAME
]~OARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
frJlJ...E'S .1... .5'toFIE:Li> &&f'IE'-t> mAAlIoJE.e.oAls"o.:nNt.}ATE /.;1.-/- qq
BUSINESS ADDRESS
.3s<g'-j- ~ ~)(e..\\A.tJ~f: f\vF-
tJA f'1.-\:':. $
l="k.
3L.\lo~
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) NIJ..Wl(:{U,tJ..') Uie..--I-.s
2 )
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
STATE OF FLORID!.
COUNTY OF COLLIER
The foregoing registration was sworn to and subscrtbed b~O. re llje on
this the J p=- day of ~/ I??? ,by ~.~I f~f.L1
w1no is, pers~a'lly known to me or who has produce ....... ...
~~ ~~ as identification and who did take an oath.
S-N.J-.s-s-~~J4'-t) BY: -<;bpW .:X:.~I- ~._..-(.'
Deputy Clerk/Notary Public
Please Note: 1) Failure to renew this registration by the renewai
date of October 1st will result in the placement of this registrant on
a "status unkno'iI111" 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