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2013/2014
Clerk to the Board, Minutes & Records Dept. Expires 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Christopher Wright Date9/18/2013 Business Address 6610 Willow Park Drive, Ste. 200 Naples, FL 34109 Business Telephone 239.597.0575 E-Mailcwright @consult-rwa.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). See attached list 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this,23 day of,Se pkrvi ht♦ Z 0/3 by C (,s to p{ e/ (j!i Js h t" , who is personally known to me or has produced as identification and who did take an oath. xv SAVANNAH LAN DRY • NOT.0-LV rustic B T . A - �STATE OF FLORIDA E16OE160389 De P Y ut Clerk/Nota P The annual registration fee5 �25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. o 71 m m m m p p n n n n n n n 0 n c)c) n n n n n non W W W CO CO CO CO CO D D D D z 0 * N 0 0 a 0 n) CD 0 0 0 0 0 0 0 0 0 0 0 0 O = cD 0 C . 0 CD 0 CD 0 C c Cy •W c0 0 c. 7 .(1 7 3 3 Q 3• 3 = _ = 0 = _ _ = `< `< N 3 '0 r. 7'5- 0T. 7 cD T N l O O (D 3 D `/\ N a a (D 7 7. CD CD CD (� [D (� N, (D c�D (D c�D O O (D CD ? O N 3 0 0 0 w S 9 3' 3 X O m cD 7 3 W '. 5 D o m 0 �' >_ > -D m n g n n n n T 01 a r v 3 W ° ° (� °. S. Z D p o o D 3 7 0 0 - v 7 0 0 0 0 0 0 0� = n r 7 m o 7 m o < a o v 'C7 'O C7 r 0 c0 0 7 N `G N cD C p c C c c 7- 7 v n N '< j a (D 0 = CD CD P• 0 M 0 Dl = "< 5 cD ° 0 0 0 0 0 0 0 cD N. 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Dwight E. Brock oz. �J\` Clerk of the Circuit Court F.r.}`riiii`4 0 gffq , c,- - , _ p\ c,,,_ @(--,--„ :)Q ,. Customer Deputy Clerk Clerk Office Location JONES, EMBLIDGE, BMR CASHIER Collier County Govt. Center VANASSEE, WRIGHT & MinutesandRecords @CollierClerk.co Building F, 4th Floor PAPPAS m 3299 Tamiami Trail East, Suite RWA, INC. 239-252-2646 401 6610 WILLOW PARK DR STE P.O. Box 413044 200 Naples, Florida 34101-3044 NAPLES, FL 34109-9014 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 5 BMR Lobbyist Registration $25.00 $125.00 TOTAL AMOUNT DUE $125.00 Check#24825 ($125.00) BALANCE DUE $0.00 Note: Disclaimer: All transactions are subject to review/verification.The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. 1©O11DOQT@OQ @OB110 Page 1 of 1