2008/2009
Receipt# 007008643
7/27/20092:36:49 PM
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Dwight E. Brock
Clerk of the Circuit Court
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Customer
JOHN F. SOREY
220 GULF SHORE BLVD N
NAPLES, FL 34102-8450
Deputy Clerk
BMR CASHIER
Minutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Gov!. 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:
Check# 659
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
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 -::TV'/'--. I:::. .s~ '0<7 W Date Z:;17 ,)-i ......_:;-
Business Address )?- f;? t:, ..-1/5 f",,--e-. 1'7/-- /. /t'O
fI/C-<--p 4J F I- :341/ D 2-
y
Business Telephone 2-X7.-..~t'-/.r.r= E-Mail {O"-~7 ~ ct,-,., w.co.-.c-"<J'7;. .-7<97
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
I). IV'RV p( e- -' ;Z (70
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I s '1 {/ t; c?Q / / e '1'7& P r~... k /?,,---/
IV ""'-,-:ole " j::: L- ..? I-f / (;7 2-
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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obbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed hefore me on this " ~l i-~
day of -JJ[U. ~ , by__ . __ , who is personally known to
me or~. '_, ---- as identification and
who did take an oath.
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The annual registration fee is $25.00 per Lobbyist, according to Collier C
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).