2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
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Name
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
pIA Re L L/ Date /0105/;0
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3330 I
Business Address 8e R.~ e R.
350 E. L4S V Las.
Business Telephone 95'1-- 71;;' - 5 i 3r E-Mail pdare-/I,-@he(jerS/I-1Qerf'(\t(Y), t!:DrY}
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature
State of Florida
County of Collier
The forejSoing registration was swpf!1 to and subscribe? before me on this ~
~ay of ()(!.rk~ I rJolO , by yltu L \)' /J. ~f 1/1 , who i(f5efsonally knoWiltO/
~ or has produced as identification and
who did take an oath.
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__'it~'v:~~c VICTORIA CROCE 1>// _ / _ (),
~A)~I i\''!._C?f\,~.~1~SS!ON # DD702459 BY: l/'C- 'V-oJJ.../A..... ~ e..L
"~o"'';''~ c:XPIRc,> August 06, 2011
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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# 007111610
10/8/20102:36:14 PM
Dwight E, Brock
Clerk of the Circuit Court
(Q)VvD@DC9jD 1~@cG@D~l~
Customer
PAUL D'ARELLI
BERGER SINGERMAN P.A.
350 E. LAS OLAS BLVD.,
10TH FLOOR
FORT LAUDERDALE, FL
33301
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# 43492
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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