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2004/2005 BY: HEIDI R DEPUTY CLERK RECE I PT : 43 83575 NAME: PAYOR: SUSAN HEBEL WATTS SUSAN HEBEL WATTS REFNC: HRR County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P . O. BOX 413 044 NAPLES, FLORIDA 34101-3044 ORIGINAL OFFICIAL RECEIPT When Validated VI: 3391740 CHECK: AN AMT PAID: LOBBYIST DESCRIPTION w- J2DDO q/ ~S- 11/12/2004 25.00 25.00 AMOUNT ============================= DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 TOTAL. DUE: ---------- ---------- 25.00 25.00 COLLIER COUNTY 3301 East Tamiami Trail Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME: Susan Hebel Watts DATE: BUSINESS ADDRESS: 3003 Tamiami Trail North, Suite 400 Naples, FL 34103 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Collier Enterprises, Ltd., and the entities listed on the attached schedule. ~~lUdtb Signature STATE OF FLORIDA COUNTY OF COLLIER w- )~VoO 10/15/2004 The foregoing registration was sworn to and subscribed before me this the J 5~ay of October 2004, by Susan Hebel Watts who is personally known to me. r--.... ~ryPUbIiCSignatuq. ~ DEBORAH A BROWN : 5 f'2."- ConvrII DOO348872 i : I~~\ Elcpil8l1011812OO1 : : \~~~ Bonded lIV\l (800)432-4254: : '",er~,,~ Florida Notary Aasn.. Inc : 1.................................... ........1 :De.lo~ ~. ~ e..o w tJ Printed name of Notary Please Note: 1) Failure to renew this registration by the renewal date of October 1st will result in 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. 2004 Lobbyist Registration Attachment Entity Name: Collier Development Corporation Collier Enterprises, Inc. Collier Enterprises, Ltd. Collier Enterprises Realty Group, Inc. Collier Land and Cattle Corporation Collier Land Development, Inc. Collier LB Collier Management Services, Inc. Gopher Ridge Groves Hamilton Harbor, Inc. Sabal Bay The Old Collier Golf Club, Inc. Address: 3003 Tamiami Trail North, Suite 400 Naples, FL 34103 Phone: (239) 261-4455 L\Law\EMD\Miscellaneous\Lobbyist Registration Entities Attachment.doc