2009/2010
Receipt# 007037692
12/3/20094:31:36 PM
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Dwight E. Brock
Clerk of the Circuit Court
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Customer
DEREK WATTS
ROETZEL & ANDRESS,
LPA
850 PARK SHORE DR
NAPLES, FL 34103-3587
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
TOTAL AMOUNT DUE:
Check# 493462
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
COLLIER COUNTY
330] Tamiami Trai] East
Naples, Florida 34]]2
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME
DATE \~. ~.o'1
BUSINESS ADDRESS
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E-Mail ~~1T6~
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NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
Business Telephone
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2)
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ATTACH ADDITIONAL SHEETS AS MAYBE NECE~// /~
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STATE OF FLORIDA
COUNTY OF C8LblBR m~'/\'"TH_
The foregoing registration was sworn to and subscribed before me on this the 2",0 day of
j).,ro""h€. , 2009, by 'fp"" \L W~ who is p~lly known to
me or who has produced as identification and who did take an
oath.
BY:
The annual registr~tion fee is $25.00 per Lobbyist, according to Collier Co nty
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).
December 3,2009
VIA COASTAL COURIER
Collier County Board of County Commissioners
Minutes and Records Department
3301 E. Tamiami Trail, 41h Floor
Naples, Florida 34112
Re: Collier County Lobbyist Registrations - December 3, 2009
Dear Sir/Madam:
Please find enclosed the lobbyist registration form for Derek Watts from Benderson
Development Company and a check in the amount of $25.00 to cover this registration. Thank
you for your assistance.
Sincerely,
~1 €r-----
cc: D. Watts
604554 v 01 \. 102255.0008