2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: PFtuL 1> 'l}P-.ecL/ Date: 2007-10-05
Business Address: C (D {3-Pltje~ S~~ eel't'\lt/\J ~
.3,jO y{Sf ~~'> OLttS. 6/ud, 10 ;--IR,
F -r, Utucter-aq /e {FL 3330(
Business Telephone: 'tSY-7/c2 -5'131 Email: fJdCU?,pllfiJ)berqe:S/'ytge[',-rv:t~. (ic.W\
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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to. C. t. t'j o,() 7' /l} 0 nt:J cJ m ~ Il <t
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature \.
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this ;2,.3 ~
daYOf~1 ~/O ,by AwL D'Me(L, ,WhOi~~U~;~~~~.:o~
or has produced as identification and who did take
,,~<~'y:~~~. ViCTORIA CROCE,~
~"'A"':' ' 'c:Io' ~
:*: :'", 1vlY COMMISSION # 00702459 1/ ' ,
:.~. .,~-r.:.. _ . .. _ : .
"!,.t91'~!t;.. D.eiRES August 06, 2011 BY. !J.' V.:-LtL. e..e-
(407) 398.r!15', FlondaNotarySorvlce,com D t CI kIN t P bl'
'-"'-'" epu y er 0 ary u IC
an oath.
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).
Receipt# 007095569
7/30/20102:42:56 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
PAUL D'ARELLI
BERGER SINGERMAN, PA
350 EAST LAS OLAS BLVD.,
10TH FLOOR
FT. LAUDERDALE, FL
33301
Deputy Clerk
BMR CASHIER
M inutesand 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# 42616
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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