2011/2012
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Clerk of the Board, Minutes & Records Dept.
3299 Tamiami Trail East, Suite #401
Building F, 4th Floor
Naples, Florida 34112
Expires: / &;j, 1/2-
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
2011-2012
NAME ~VIN ~rrE',&E;;:: DATE ?;/u/t,
BUSINESSADDRESS l&tJO .lA-wqMSS CCJt:r4I!Are ~,I!~W~/ ./:;/12 '/00
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Business Teleph~e (1.s~ :f.S3 - I :r:? DE-Mail k",,,,,I. r". fie r-=e j tJ.. u.. ~ S. <.0""-
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY"
STATE OF FLORIDA . ~ ~ \
COUNTY OF ~$ltowHP
The foregoing registration was sworn tq~nd s~cribed before me on this the ~~y of
, 20~, by ,&;€Y/~ lQ9-rr-e-t2~ who i ersonally known to
as identification an w 0 1 a e an
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# 007190127
9/29/2011 9:03:09 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
KEVIN RATTEREE
GL HOMES, PARKLANDS
ASSOCIATES I, LLLP
1600 SAWGRASS
CORPORATE PKWY STE 400
SUNRISE, FL 33323-2890
1 Product
QUANTITY DESCRIPTION
1 BMR Lobbyist Registration
DeDuty 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
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 0233
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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