2009/2010
Receipt# 007035276
11/20/20099:17:49 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
JOEL KESSLER
585 PARK ST
NAPLES, FL 34102-6611
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# 28535
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
~.rvg 110
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRA nON FORM
Name J;;;/f- ~s:s/u-' Date jj- ;20- of
Business Address SJ'I ~ rj-lt/C .J77l~ Al.AfJeJ fl 3 V jD V
BusinessTelephonec2"'~, (co.(/7 );:/,<.).. E-Mail...J,;'d. )(2~k"(i\fla;/~\A(4-' O'f
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
I). i\\(~ 412.T.AsstlU rrT7()~
58"$ fA-rUL ~ !\lr-'51b.L?t ,~~ I~ Y
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2).
PLEASE ATIACH ADDITIONAL SHEETS IF NECESSARY
State of Florida
County of CoIlier
The foregoing registration was sworn to and subscribed before me on this ~ ~
day of ~).. by. , who is personally known to
me or has produced -Ft . Dr I ~ ors, 6-C. as identification and
whowd"'momh Q (), I))Ev!1U?J/Yk
~y Clerk/Notary Pubhc
The annual registration fee Is $25.00 per Lobbyist. according to CoUler County
Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24.
Please make payment and mail to: Comer County Clerk of Courts or
Dwight E. Brock, Clerk of Courts (at the address listed at the top of the form).