2004/2005
BY: ANN J
DEPUTY CLERK
RECEIPT: 4361711
NAME:
STEVE SAMMONS
STEVE SAMMONS
PAYOR:
REFNC:
APJ
County of Collier
CLERK OF ~HE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DESCRIPTION
~.~.~"
:,'", .'~' ,.....' ',' "C' '"'.'''
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~r
'jtf; .33706'16
iO/l,3/2QC!!~
CHECh~
',1r Ar1T ,'AID;
)=:: iT!
:-..: ~ ......-
.25~ DO
AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
TOTAL DUE:
25.00
COLLIER COUNTY
3301 Tamiami Trail North
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
BUSINESS:
~~A~
W l V'OON t,U(...\.EJL.
DATE: _100 Oe,. 04-
~ LA~b~cA~ ~akrec.1Vt2f;
NAME:
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) 'DI"O~Th BoIME% I L 0 'Po
~MM.ll;;(;,e SQl)~6 oFFICe ~
:o.+c:;C\ pr~€ l2t t::x'-,P PMOh.
tJA.P~ ft- ~\I4
2) ~ "t;:l6V6I...o~~~
41;01 11ioaM\~1 11'AIl,... No, sre -lCS '300
I'1~PLe~ FL. ] We "3410'3
ATTACH ADDITIONAL SHEETS AS MAY BE
NECESSARY.
~"'
~) JJtAS~It=" t:eV6\..O~J LlL
l' $0 GrM.LeiVtI~ co\1(tT sre 3110
,
~fll.ES Ft. '5410'1
-
Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on
this the 8 day of ()~'\. ;;lool\-, by S{e\.\EI\ \:I. SQ..rnmol\lS
who is personally known to me or who has produced \''') 0 NE'
as id id take an oath.
....'~ MARLENE R. SALE
~".1 MY COMMISSION" DD 125860
"tflf.,..<<fF EXPIRES: August 6, 2006
1-l1JC}3-NOTAR'f R. Notay SeM<:e & Bonding, Inc.
BY: m cu. Q~ .,\ILL --R. bale
Deputy Clerk/Notary Public
please Note: 1) Failure to renew this registration by the renewal date
will result in the placement of this registrant on a ftstatus unknown"
list. 2) If one wishes to revoke this registration, a ftLobbyist
Withdrawal" form must be filed with the Clerk to the Board.