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2011/2012 Clerk of the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Suite #401 Building F, 4th Floor Naples, Florida 34112 Expires: $cJ- BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME Denis J. Roza. PE DATE October 3. 2011 BUSINESS ADDRESS 5571 Halifax Avenue. Fort Myers. Florida. 33912 Business Telephone 239-482-8008 E-Mail droza7@netscape.net NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Alico Land Development. Inc.. P. O. Box 338. Labelle. Florida. 33975 2) A IT ACH ADDITIONAL SHEETS AS MAY BE NECESSARY QyiSI sign-:re STATE OF FLORIDA COUNTY OF COLLIER The. foregoing registration was sworn to and ()c1Q bet.... ,2011, by -1)U"\I<; me or who has produced oath. subscribed 1<7\20..... before me on this the3 .j!! day of who is personally known to as identification and who did take an ~O"'':-Y::~8(0 EU?AiiETh MCNeW Pl:TERS * ..~, ... MY C0/4MISSION # DD 895640 "'~,. EX?iRES: July 26, 2013 "~OF F~C~'" 8cndad Thru Budget Notary Services BY: De~;;1~~bl* ~ 7 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# 007192479 10/5/2011 8:47:11 AM Dwight E. Brock Clerk of the Circuit Court fr~ (5(2" D n \Q)uVO@OCIDu ~ C~;CQ; C~ 0 L~)l~ Customer DENIS J. ROZA, PE DENIS J. ROZA & ASSOCIATES, INC. 5571 HALIFAX AVE FORT MYERS, FL 33912-4403 Deputv Clerk BMR CASHIER M i nutesand Records@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 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE Check# 2049 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. @@OOo@o@O@D1ko@@[[fO Page 1 of 1 DENIS J. ROZA & ASSOC., INC. CONSULTANTS AND CONSTRUCTION MANAGERS 5571 HALIFAX AVENUE FORT MYERS, FLORIDA, 33912 CG - C021691 TEL. 239-482-8008 FAX 239-454-2773 CELL: 239-872-2624 October 3,2011 Collier County Board of County Commissioners Minutes and Records Department 3299 Tamiami Trail East, Suite #401 Naples, Florida 34112 Re: Collier County Lobbyist Registrations Dear SirIMadam: 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. S. rei ~O"'PE. President Enc. 597025.000000.0784