2006/2007County 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
BY: TERESA D
DEPUTY CLERK
RECEIPT: 4929911
NAME : GEORGE H. HERMANSON
PAYOR: GEORGE H. HERMANSON
REFNC: TLD
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
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DESCRIPTION AMOUNT
LOBBYIST 25.00
TOTAL DUE: 25.00
Page 01 of 01
mA f es, INC.
VendorID: 1317
: Collier County Clerk of Courts
Check Amount
25.00
Invoice # Date
Hermavoice on06 Invoice Amount Gross Payment
08/07/2006 $25.00
$25.00
Check #: 36630
Discount Net Payment Notes
$25.00 George Hermanson
Date : 08/09/2006
36630
Collier County Expires
3301 Tamiami Trail East
Naples FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name George H. Hermanson Date August 7, 2006
Business Address
Business Telephone
950 Encore
FL 34110
239-254-2000
E-Mail georgehermanson@hmeng.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). See Attached List
2).
PLEASE ATTACH ADDITIONAL SHEETS IF
Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this ' 4-1
day of f by who is personally known to me or has
produced as identification and who did
take an oath. N DEBRA t N -uE
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NvW W Nolery Assn.
Deputy Clerk/Notary Public��+
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinances No. 2004.05