2009/2010
Receipt# 007044045
1/5/20108:10:17 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
CHRIS SWENSON
WILBUR SMITH
1532 JACKSON ST
FORT MYERS, FL 33901-
2911
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: ~o
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Chris Swenson
Date: 2009-12-31
Business Address:
1532 JacksQn Street
Fort Mvers. FL 33901
Business Telephone:
+ 1 (239) 936-9400
Email: cswenson@wilbursmith.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
L
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
L
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
4-H...
day ofjCl.t\u.~ I 1010 ,by Q.\r,d~ SWUl...."'"'
or has produced
, who isif5E,rsonally know~to me
as identification and who did take
an oath.
"~'S//"""
!~""~" DEBORAH L MANCUSI
""W' ,"1 MYCOMMISSION#DD88261O
~. '. . "1 EXPIRES: May 12. 2013
. "Rf..-n:. Bonded Thru Notary Public Underwriters
BY: (\' . AI) '^
, \)( hrl--o.l.(.l')---Y MRflr AM. .
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).