2002/2003
Dwight E. Brock
Clerk
BY: CARYL M
DEPUTY CLERK
RECEIPT: 3793826
NAME :
NICOLE RYAN
NICOLE RYAN
CTM
PAYOR:
REFNC:
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
R-<1s-()oo
AMOUNT
=============================
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
----------
----------
TOTAL DUE:
25.00
Page 01 of 01
COLLIER COUNTY
3301 Tamiami Trail'East
Naples, Florida 34112
7\ - 9S()OO
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME~ iui~ Ml/(Jf) DATE lo/N/L/)
BUSINESS ADDRESS 'ltlJ"'::JQ1UMCY cJ lit.) PL
I~V:D W1W't\ h0~ [Y.
1ilip~ Fe ~J('0
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) l())cclQ~'{Vrl - tD){Y}Q GG Qt0lJf
2 )
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
STATE OF FLORIDA
COUNTY OF COLLIER
: ~.;'.~.'.'
,,",..:.,'
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The foregoing registration was sworn to and sub~cribed bef~o me on
this the /4z:L day of Ck..-".J , by ~. ~ ~,
who is personally known U1-me or who has produced '), ~-oD-
as identification and who did take an oath.
N-so::'-~/€/-?2- 0,5!/-d BY: ~~l~itc u"12lic
Please Note: 1) Failure to renew this registration by the renewal
date of October 1st 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