2007/2008
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
ORIGINAL
OFFICIAL RECEIPT
When Validated
BY: ANN J
DEPUTY CLERK
RECEIPT: 5305476
DESCRIPTION
----------------------------- ----------
----------------------------- ----------
25.00
NAME :
KRISTI BARTLETT
LOBBYIST
PAYOR:
KRISTI BARTLETT
REFNC:
APJ
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
{3 aY~/oO
E~. q/DP
VI: 429J211
CfEK:
CT MT PAID:
TOTAL DUE:
11/0212007
25.00
25.00
AMOUNT
25.00
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
@:> 0-4-1 () 0
Expires ~ . q} fyf
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name ~ '" ~ 0-:J D...Y '" \. -'2--'1-""
Date \' \ '"1- \CI-'
Business Address '?:,.C:>SD ~=~"" ""o'v"-s e..-sy.,o"'- "'Y--.
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Business Telephone '2-."0"\ - -:2. L ~ - <;!."\ ~~
E-Mail \-<......~@e.NC>--I?\......B........OICl: .
c..o\'Y)
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). 't.<::.=",c,,,,,",,c. uc..'-.J<2-\o~c-",,* c....'---'-'<'<.-:\ of' '--Q\\\<......<-~.
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2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
}~.~
Lobbyist Signature
State of Florida
County of Collier
re me on this ~
, who is personally known to
as identification and
.....,
BY: (}.u,LA. lv1AJ.L
Deputy Cler~Hc .... ..
'J ~_
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).
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