1999/2000
.
.
.
.
Dwight E. Brock
Clerk
BY:
".:....
..._...:.'___.__.n.
..t
RECEI
:J -.t ~-) 1. _= ,35
PAYCiV
REF,
[lEV'-
--
--
County of Collier
CLERK OF THE CIRCUIT COURT ~O
:)
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 33941-3044
OFFICIAL RECEIPT
When Validated
;-.~' f"J '~.I::: i :.:.:'
-:=1"r?~L
-.--=--= - ---- - - --
BRANCH OFFICES:
GOLDEN GATE
4839 GOLDEN GATE PARKWAY
GREENTREE SHOPPING CENTER
2386 IMMOKALEE ROAD
lMMOKALEE
101 S. FIRST STREET
MARCO ISLAND
1040 WINTERBERRY DRIVE
-; pj'.='L!!-'
'1_;;7:
Sep e2 SS 02:22p
Board Minutes L Records
774-8408
p.l
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
[' D'D t>
S 'D-=>
NAME
fJJud
,
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
)e(t.{"dV1
DATE
ocl~ /9'1'
.
BUSINESS ADDRESS
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED,
1J~ ~.*..
~.# fJJl'de#
AIc# 1/...4t/~ J~k
2) -rAt !)t1ldJ C-ovf
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
A~~~~~
LoPbyist signature ,_q".
STATE OF FLORIDA
COUNTY OF COLLIER
--
.. ~. ... .
~ - .......... , -'.
..- L'i:"::/ - \. I
. I' _
The foregoing registrati~as sworn to before me _~- .
this the \3"'T~. day of <.,\)Qc.Q.~_~ ~N $. - " _ .
who is personally known to me or who has produced -"53 '.-0) u.:
0'1 g. -l.\ ~l.\bf\-t:) as identifi~nd who did take an o,~th""'.""""""""
BY:~~H..&- ~ ~~'\\...L b.~'I'", _'~-'
Deputy Clerk/Notary pUb:hc '",,,,-,
Please Notel 1) Failure to renew this registration by the renewal
date of October let will result in the placement of this registrant' on
a "status unknown" list. 2) If one wishes to revoke this
registration, a nLobbyist Withdrawal" form must be filed with the
Clerk to the Board. 3) Annual Registration Fee is $25.00 per
Lobbyist according to Ordinance 99-22