2004/2005
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County of Collier
CLERK OF .THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P . 0 . BOX 413 044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
ORIGINAL
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OFFICIAL RECEIPT
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BY: HEIDI R
DEPUTY CLERK
RECE I PT : 4602 968
DESCRIPTION
AMOUNT
NAME :
BRIAN HOLLEY
LOBBYIST
----------------------------- ----------
----------------------------- ----------
PAYOR:
BRIAN HOLLEY
25.00
REFNC:
HRR
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
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Collier County
3301 Tamiami Trail East
Naples, FL 34112
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
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Date CJ 7/2<;/C>->"
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Business Address ~/ c' /6. J Y0 JQ"7. ( '...- (
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Business Telephone t~ C-/ ?,- 7 L 7,) E-Mail 6> '-760)// e ptc-~ (.,-) 7a,c"JL.~. ~y/
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this Z ~
day of " "-" ( , by -- , who is personally known to
me or has produced \ as identification and
who did take an oath.
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The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2004-05