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2001/2002 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 BY: ELLIE H DEPUTY CLERK ':-.. . ., " . .. '..i ;. "~;:'~i ' l: RECEIPT: 3704245 DESCRIPTION AMOUNT PAYOR: MICHAEL V. REAGEN MICHAEL V. REAGEN EJH LOBBYIST ----------------------------- ---------- ----------------------------- ---------- NAME: 25.00 REFNC: DEPT: BOARD MINUTES AND RECORDS TOTAL,DUE: 25.00 Page 01 of 01 COLLIER C0UNTY 3301 'Tamiami Trail East Naples, Florida 34112 lC-J~tJlJ() BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME Ui,;,~ 14./;; J... V. %/~7-C=-4i -.e.,c.. DATE BUSINESS ADDRESS 3~ 2 0 ~J;"lH,'~Mar- /tI1tpJ.et1.f ~1.A 3c;/C3- .3"t-H V/;/~~ NAMES AND 1) BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 11tt94- 4/4pLEr< c/f~&9z. ~ C:;>>OR.pp2c.?" 'PAl '- ~,2D <1AJ?1IA ~J M/J-T4. f{lkp'Lej 'FL4, 3Y/lJ:3 - 3:r~fd ( 2) ATTACH ADDITIONAL SHEETS AS MAY B STATE OF FLORIDA COUNTY OF COLLIER Th7 foregoi~~ registration~ ws sworn to and subs~ribed b~t th~s the II -h- day of _~/ , by J A~ - ., \, who is__eerson,ally known to e or who has produced - d .c '-~" 'i 'Rd.1)~-5r?J -'1;;-d(, 7--rJ as identification and who did tJikelciK I dCll.~h ~ <; ". , ~r .. -! -- !.___ Ci". I' ;: I , ~ , / / . BY: " / Deputy Clerk/Notat'r L; ..., (; IJ ( ') 9 ,_ _ '^~ .. . 'I 'fItp .~ ..-.~_l..' ~ ~ Please Note: 1) Failure to renew this registration by e",,~ rei:l~\tal-. ..__....,. date of October 18t will result in the placement of this :[leg] strEUl-t' on ",\.,," a nstatus unknownn list. 2) If one wishes to revoke this, . registration, a nLobbyist Withdrawaln form must be filed with the Clerk to the Board. 3) Annual Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22