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BUil<fljig F, 4th Floor
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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Name <!/Tfhf};_AJ
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Business Telephone 231. ?/36 ,c, /06
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature
State of Florida
County of Collier
The foregoi g registration was sworn to and subscribed before me on this '7 ~
day of , by , who is personally known to
me or has p duced .c-< C C:' as identification and
who did take an oath,
Btz(wU/\~r(
Deputy ClerkfNotary Public
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# 007166465
6/9/2011 2:54:55 PM
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Dwight E. Brock
Clerk of the Circuit Court
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Customer
KATHLEEN CURATOLO
3200 BAILEY LN STE 110
NAPLES, FL 34105-8506
Deputy Clerk
BMR CASHIER
M inutesand Records@CollierClerk,com
239-252-2646
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Clerk Office Location
Collier County Govt Center
Building F, 4th Floor
3299 Tamiami Trail East,
Suite 401
P,Q. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY
1
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25,00
TOTAL AMOUNT DUE:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25,00
$25,00
($25,00)
$0.00
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Page 1 of 1
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires eXfJ. ~IuJI()
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name pn/ ilEA)
Business Address Cf3;'A
(V/tPLfS fL
(UN) (vU) Date
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34/04
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Business Telephone 23'1-13(;, '0/C () E-Mail kfltf01r{? C 8/A , 11C+
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSAR
State of Florida
County ol COlJ/er
Lo byist Signature
fA
The fore ing regjs!ra,tjon was swo
day of u/ m/U , by: .
me or has produced'[
who did take an oath,
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subscribed before me olUhl/ iJ/1IP ,~,'\::
, who is personally ,&,Il(l.w~~{o?, ;:
as idclitifiCU'!fon <UJtI :::
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BY:
Deputy Cler
Tbe annual registration fee is $25.00 per Lobbyist, according to COlJ/er County
Ordinance No. 2003-53, liS amended by Ordinance 2004-05 and Ordinance 2007-24.
Please make payment and mail to: Col1ler County Clerk of Courts or
Dwight E. Brock, Clerk of Courts (at tbe address listed at the top of tbe form).
Receipt# 007094339
7/26/20101:43:40 PM
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Dwight E, Brock
Clerk of the Circuit Court
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Customer
KATHLEEN CURATOLO
COLLIER BUILDING
INDUSTRY ASSOC
4779 ENTERPRISE AVE
NAPLES, FL 34104-7042
Deputy Clerk
BMR CASHIER
M inutesand 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:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25,00
$25.00
($25,00)
$0.00
Page 1 of 1