2010/2011
Board Minutes & Records
3301 Tarniami Trail East
Building F, 4th Floor
Naples, FL 34112
EXPires~
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name -AI> d"'~ L 'I n r.
Business Address .l39t) ~~\~lY) i Tr~A I N. CS ,rf-q 2)()
)
~ "d? \ eS i F'L. 3l.J I D :-,
Business Telephone 23'1 - 21i ~ 7932..
Date~ r~12oJD
E-Mail ()Y).c\rt'":::l. e '1~I\t"s~';)wJ.u..v ,t.:r~
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). Gra~ ~~-eb ~ at (~"'<"rCt' ,
\' (t
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature
State of Florida
County of Collier
~:J.L " " , ,
. 'II(I "
The fore oin~ registration was sworn to and subscribed before me on this I~. . . ,': . . . '
day of t. 1.Dll) , by , who is personally known to "
me or has produced A- PL ~ ~,jde!ltificatib~~~, i
who did take an oath. , ,
t./ ,..
. .....-
BY: ,',
,;~r ,,:,\i~Ji ""
Deputy CldrkINot~p'}f,b i~', ,; \,
:,:~,':';:1:.~,}t~~tA:>:/ ~ - ,~, ."7-~' ""
The annuaJ registration fee is 525.00 per Lobbyist, according to COIlit!r}~~,~J'lty'::"{I,""
Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinalfi!e '2007':'2;4.
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).
~ :
Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007105451
9/13/20101:17:44 PM
Customer
ANDREA LYNN
GREATER CHAMBER OF
COMMERCE
2390 TAMIAMI TRL N STE
210
NAPLES, FL 34103-4484
@VVO@O([)o ~@@@D~G
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# 3747
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
(Q;@UUD@u(Q;U@u!ko @@!lilD
Page 1 of 1
Receipt# 007110328
10/4/20103:10:15 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
MIAHAEL V, REAGEN
NAPLES CHAMBER OF
COMMERCE
2390 TAM lAM I TRL N STE
210
NAPLES, FL 34103-4484
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:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25,00)
$0.00
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Page 1 of 1