2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name At-Jar> Jf!/P~11SP 7 'Ie ~ '~' ~
Business Address 2631 - It..sf A/{...,j G-tfc f~ ~c ')
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BusinessTelephone ;;!o '7.%,/, /610 E-Mail /l!,~iue/.I2.J1~~ -r.-"
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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State of Florida
County of Collier
The fo~ng re-ttration was sworn to and subscribed before me on this d~
day of :t' " c '1 , by , who is personally known to
me or has produced fL ~L_ as identification and
who did take an oath.
BY:
Deputy Clerk/Notary Pyblic
The annual registration fee is $25.00 per Lobbyist, according toCoUlerCoun
Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordjilan~ec 200'-24~'
Please make payment and mail to: Collier County Clerk of Courts ,or '
Dwight E. Brock, Clerk of Courts <at the address listed at the top of tbe form).
Receipt# 007028088
10/20/200910:34:27 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
MICHAEL R. RAMSEY
RAMSEY, INC.
2631 4TH ST NW
NAPLES, FL 34120-1306
Deputy Clerk
BMR CASHIER
M inutesandRecords@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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