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2003/2004 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 BY: PATRICIA M DEPUTY CLERK RECEIPT: 4200017 DESCRIPTION ----------------------------- ---------- ----------------------------- ---------- 25.00 NAME : PAYOR: REFNC: SUSAN WATTS SUSAN HEBEL WATTS LOBBYIST PLM DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 VI: 3213200 LJ-l2-<Xb 03/29/2004 CHECK: 25.00 Me AMT PAID: 25.00 TOTAL. DUE: AMOUNT 25.00 Lu~l 2-000 COLLIER COUNTY 3301 East Tamiami Trail Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME: Susan Watts DATE: 3/12/2004 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. ~CVv\ WVo&uJ~ Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me this the 1;( r:f"-" day of fYla-.tc~ 2004, by Susan Watts who is personally known to me. ~""~ NANCY LYNN HALL '" W :or MY COMMISSION # DD 03/397 "~DF f\fI>~ EXPIRES: June 24, 2005 l.aoo-3-NOT ARY Fl Nol8Jy Service & Bonding, Inc. NO~~gna:r~~ c~ ACVV\ c.-<-1 L, ~q Ij Printed name o~ 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. 2003 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 Hanlilton 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