2005/2006
Dwight E. Brock!
Clerk
BY:
ANN J
DEPUTY dIRK
,
RECEIPT: 48836S!4
NAME :
PAYOR:
LAURA
LAURA
$I!>URGEON
$1PURGEON
REFNC : APJ
County of Collier
CLERK OF THE CiRCUIT COURT
~OLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O, BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFiCIAL RECEiPT
When Validated
DESCRIPTION
S ,5100
F~. Cf/Dtp
VI: 3880656 Ob/15/2006
CASH: 25.00
MC AMT PAID: 25.00
AMOUNT
=.=.~.==K=_.==..==..=..-==S== ==========
25.00
LOBBYIST
DEPT: BOARD MINuTES AND RECORDS
Page 01 of 01
TOTAL DUE:
25.00
Collier County
3301 Tamiami Trail East
Naples, FL 34112
.c..~JC:lrr\
--" -' ) J
Expires JC Xi? , q I bip
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name LO-wt\ SpUfjCOn Date fa'15{00
Business Address '}-Q?O S~ r'\to(& Co(..l It
f'Japles" n 3+ I/z.
Business Telephone Y,3 If ~ 02>3.3 E-Mail lk~(;})ohy}5one~.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). ----H-t:t..b, ~ +- ~r Hvm Ilrl/ff
2). trt~ '-s - VO\. r', eS
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
V~1A~~~(
Lobbyist Signature
State of Florida
County of Collier
me or has produced
who did take an oath,
.......,
BY:
Deputy Cler ,ubIic, '
- " '~
The annual registration fee is $25.00 per Lobbyist, according to Collier County',,'>"
Ordinance No. 2004-05