2011/2012
Clerk of the Board, Minutes & Records Dept.
3299 Tamiami Trail East, Suite #401
Building F, 4th Floor
Naples, Florida 34112
Expires:
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRA nON FORM C 2-0 '/~~:J
NAME ~HrV P ~tALL~v/l"J DATE 11IZy/z.-tJ/I
BUSINESS ADDRESS 305,">" r;~ IC/l--?/ /14A /1- AJ/L
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Business Telephone LF/'- S-7/ 7' - ;1(":;:> 5t) E-Mail E./J'1-:'='/LG.IS~~-6/Lp/",.;O..1.- ~ ~h to. <-c,..r.
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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ATTACH ADDmONAL SHEETS AS MAY BE NECESSARY
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STATE OF J;th. ~~"\.
COUNTY OF CJl' ~ R
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The foregoing registration was sworn to and subscribed before me on this the 1S'i" day of
~~..." r . 20.!.!..-, by 3"'-0 W,., ? s. ( " .fAN who is personally known to
me or who has produced flu,". 0.\ btlolt: ~ l \t.- \0(. as identification and who did take an
oath.
BY: t19rlM. '" tJ .Irt!:....r
Deplty Cler otary Public
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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).
Date ~/;3 /zo it
Collier County Board of County Commissioners
Minutes and Records Department
3299 Tamiami Trail East, Suite #401
Naples, Florida 34112
Via: !../'::> ~.~ -.:T_
Re: Collier County Lobbyist Registrations
Dear Sir/Madam:
Enclosed is my firm's check in the amount of $25.00 for the fee to cover my business and
address represented before the Board of County Commissioners as of this date. Thank you for
your assistance.
Sincerely,
pJ J!L
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597025.0??oo0.0784
Receipt# 007187738
9/19/2011 11 :01 :29 AM
Dwight E. Brock
Clerk of the Circuit Court
(c)XfLio e3 n (~Il n C-~ C~(c~X~ 0 ~DU
Customer
JOHN SULLIVAN
EMERGENT DEVELOPMENT
GROUP
3055 TERRAMAR DR
NAPLES, FL, 34119-7702
DeDutv Clerk
BMR CASHIER
MinutesandRecords@CollierClerk.co
m
239-252-2646
Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3299 Tamiami Trail East, Suite
401
P.O. Box 413044
Naples, Florida 34101-3044
1 Product
QUANTITY DESCRIPTION
1 BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 1004
BALANCE DUE
AMOUNT
$25.00
$25.00
($25.00)
$0.00
Note:
Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to
assess or refund charges as needed.
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