1999/2000*9F GIRCQ,,C
. � Oc
J
Dwight E. Brock
Clerk
County of Collier
BRANCH OFFICES:
CLERK OF THE CIRCUIT COURT
GOLDEN GATE
4839 GOLDEN GATE PARKWAY
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
GREENTREE SHOPPING CENTER
PO, BOX 413044
2386 IMMOKALEE ROAD
NAPLES, FLORIDA 33941-3044
BY
RECEIPT:
2918C5 4
PAYOR:
GEORGE
REF:
GEORGE
IMMOKALEE
101 S. FIRST STREET
MARCO ISLAND
1040 WINTERBERRY DRIVE
OFFICIAL RECEIPT
When Validated
0 ES C �d1 01A; M P:
GEPT: BOARD MI -r:-71
(SEAL) COLLIER COUNTY wtkg0
3301 Tamiami Trail, RaSI
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME
BUSIN
NAME AND BUSINESS ADDRESS OF EACH PERSON: OR ENTITY REPRESENTED:
-----------------
- ,ac
3.)
The foregoing registration was sworn to and subscribed hafore me on
this the 31 day ofby
Who is personally known to me or who has produced
�s identification and who did take an oath.
1��cst�'..�c��"1�✓�S't�i BY:
lease note: p
1.) failure to reaem this
wreQistration by the renewal date
will result is the placeusat of thia registreat nip ■ -statue ualmoep'
list, 2.). If one ris,hes, to revoke this, registration a -Lobbyist
Mithdzrasal' form spat be filed witb the Clerk to the Hoard.
4{,QiQ DEANE JOHNSON
'^ "at Icr A NY m EXP. 4/20/2002
No, CC 715366
Nn a4l N� I I0, a I.O,