2008/2009Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT: 5687223
NAME : JOEL KESSLER
PAYOR: JOEL KESSLER
REFNC: APJ
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
(000
�.L
DESCRIPTION AMOUNT
LOBBYIST25 00
TOTAL DUE: 25.00
Page 01 of 01
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name
C--S S/C-r"
Business Address:
'`
Business Telephone:13 f- .24.2. 6 ,07
-1 �f&)
Date: 2009 -9�t7�
Email: )cV��ay> r'.O�_
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
AsSa CA A T� �
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
Abyiit Signatu
State of Florida
County of Collier
The foregoing registration was sworn to andsubscribedbefore me on this
day of �,L�. r- ' 19
by �e1 who is personally known to me
or has produced T - as identification and who did take
HELENE TALLMAN
an oath.Notary Public -State of Florida p
commission Expires Jan 3, 2010 BY: uk
y '�F commission # DD 503822 1 V
"•%%....; Bonded By National Notary Assn. Deputy Clerk/Nota Public
The annual registration 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).