2005/2006
County of Collier
CLERK OF THE CIRCUIT COURT
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COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
ORIGINAL
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OFFICIAL RECEIPT
When Validated
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Me At1T PAID:
25~OO
25.00
BY: HEIDI R
DEPUTY CLERK
RECEIPT: 4656359
DESCRIPTION
AMOUNT
NAME :
PAYOR:
REFNC:
DOUGLAS RANKIN
DOUGLAS RANKIN
LOBBYIST
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25.00
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DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
Collier County
3301 Tamiami Trail East
Naples, FL 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
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Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
day of , by , who is personally known to
me or has produced as identification and
who did take an oath.
BY:
Deputy C1erk/Notary Public
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2004-05