2009/2010
Receipt# 007028937
10/22/20093:21 :02 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
JOHN BARLOW
H.O.M.E.
4351 GULF SHORE BL VO N
NAPLES, FL 34103-2697
Deputy Clerk
BMR CASHIER
Minutesand Records@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
TOT AL AMOUNT DUE:
Check# 1107
BALANCE DUE:
AMOUNT
$25.00 ~
$25.00
($25.00)
$0.00
Page 1 of 1
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Board Minute:; & Records
3301 Tamiam Trail East
Building F, 4th Floor
Naples, FL 34112
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Expires q /,;}o 10
Business Addlress
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM ~
.0. M - ~. Date II9/Z1 L O~
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Business Telephone k-?7 ~ T I~~ ::.nL1-Mall~~ Jk:)aJI1 cQ. eY'tl/a...y-
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
l1Du.si..x; oeorfUVt11e.s M~A- ~ <2~r-L { ()<- .
'1~(1 (f ~OYe- /?7lJP. J. RdltyWU- fct ,J
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Name
1).
2).
State of Floriida
County of Collier
The foregzttregistrati02 was sworn to and subscribed before me on this db) /I ~
day of lo/ier; tto ), by , who is personally known to
me or has produced h f) L as identification and
who did take an oath.
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BY:
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Deputy ClerkINotary p~ c
The annuall'egistration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24.
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 the form).
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