2009/2010
Receipt# 007044044
1/5/20108:08:53 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
GARY SKAFF
WILBUR SMITH
3191 MAGUIRE BLVD STE
200
ORLANDO, FL 32803-3759
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:
Cash Tendered:
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: ~({)
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Gary Skaff
Date; 2009-12-31
Business Address:
:112.1 Maauire Boulevard. Suite 2Q11
OrlandoJU2S03
Business Telephone:
+1 (407) S96-5S51
Email: gskaff@wilbursmith.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
L
"'AS' AITACH AOOrrWNAC SHmS " NCCCSSA:~~~~,"pJ1
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
Lj'fl--
day of J ili'JJ..4r<j I .;1. D 10
or has produced
, by
(ho......~ S\L4.rp
, who isPersonally kn~to me
as identification and who did take
an oath.
,""';'~"'" DEBORAH L MANCUSI
/'P"j;."'if;. MY COMMISSION # 00 882610
~.~),~} EXPIRES: May 12,2013
~i'.",;,,~'" Bonded Thnl Notary Public Undel'Nriters
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By'M ~,
. C1~1\ ~1.l_
Deputy Clerk/Notary 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).