2007/2008
(_ - 6C\ I'D CD
---O>'-y , (, ~)~
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
ORIGINAL
OFFICIAL RECEIPT
When Validated
V#: 42~72719
1 n l Gel! "'OO-r
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CHECK: 25.00
CT AMT PAID: 25.00
BY: TERESA D
DEPUTY CLERK
RECEIPT: 5284449
----------------------------- ----------
----------------------------- ----------
DESCRIPTION
AMOUNT
NAME :
BRAD CORNELL
LOBBYIST
25.00
PAYOR:
REFNC:
BRADLEY CORNELL
TLD
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
Collier County
3301 Tamiami Tra.il East
Naples, FL 34112
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name &r~ Ie] c,~ ~e \'
Business Address (0(00 J,^W\I'~-t' I"") fJ
Date /()/ i /07
::II- 3.l A
jJfI\f/e-J ) F L
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Business Telephone ~ 'I 3 - 7 tf' J.... ~
E-Mail b (..0 t"" t! It @ CO II i~ r-~ ".,L '" 1,,,,,, ' ()C'" J
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). C. r/if!r G,~..... +'J h".tv~"... Soe-,'dj
'" !:>." l~ o-J...e/. r- e.i- J
2). A-.. ~tv \, r- .. f F L
4 'I t.-( tJ r ,-vk-U A- v-(! ~ J- fU
t11~c;...yI\: I FL-
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
~re~
State of Florida
County of Collier
The foregoing re~ion was sworn to and subscribed before me on this ~ --rG\
day of ~. , by , who IS personally known to
me or has produced f \ . \>'{' l u(? \IS Gc.. !is identification and
who did take an oath. . , , , .
~~~~
Deputy~.C1eiklNot~ Publi,c ,:
The annual registration fee is $25.00 per Lobbyist, according to' <;'o~~ CdUJ}ty'"
Ordinance No. 2004-05 .... '. '. ". .
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