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2005/2006 Dwight E. Brock Clerk BY: ANN J DEPUTY CLERK RECEIPT: 4722929 NAME : PATRICK WHITE PAYOR: PATRICK WHITE 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 l0 dl sao EXp .qloro V#: 3723388 12/15/2005 CHECK: 25.00 va ANT PAID: 25.00 AMOUNT ----------------------------- ---------- ----------------------------- ---------- 25.00 LOBBYIST DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 TOTAL DUE: 25.00 Collier Couhty 3301 TamiBmi Trail East Naples, FL 34112 EXPireS~'7J:JO v BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name_PA\\2-\CL (:r. ~)V\rTb Date~ BusinessMdress S~~\ \2l?_\i\.DtLJ\()--~ C2\uct. .~tf0 R)CL\J\Q~, f\ ~)V \clo-- 34l() r Business Telephone-nq J s ~ - 2 ~E-Maitf~x.J\'\ ~ G ~trLJrisJt-. NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: ChrY) 1). E~n~ ()~ GJ~)CL~ 3 . 0 ~. r(.Q~~{L \J ~~ fL :)~~\)~ 2). ~Q~.~ . CJ . \-k JL. ~_~ b~.9-.. (\jGf!Q~ E L "2,l.\{O+ PLEASE A TT ACB ADDITIONAL SHEETS IF NECESSARY ~~~W~ Lobbyist Signature S tate of Florida County of Collier -- ~~ .-,+--f The f~g rerm~~IDi 11 and sub\",riQed before me on this \.:::, \ L--- day of 0 C' G ' , by '( <s. W~ , who is personally kno~ to me or has produced as Identification and who did tam ........'M::". REBECCA PARATORE i.~~1J~~ MY COMMISSION' DO 417346 ~. : .; EXPIRES: July 4, 2009 '~Iif.~' Bonded Thru NolaIy PIbIIc Und8IWriten BY:~~~ClO ./ Deputy Clerk/Notary Public The annuai registration fee is $25.00 per Lobbyist, according to Collier County Ordinance No. 2004-05