2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name -LJ{,,-VIJ LJhpe\f(- Date \C'IJ-c!JC'L\
Business Address:l, ~) ~) 0 ( JC ({\ d ( ) e [1-, {: S c:s
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Business Telephone ()~CD::2. ) ~ - ?)Cr:10 E-Mail (~Il-J L' t (' -t ( (;", 'I \ ,II f-t-
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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,
J').. \..1 C) \Jt'rlt' t\ o,{, Lc, Li ri-
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESS
c.~
Lobbyist Signature
State of Florida
County of Collier
The for~oi1}g registration was sworn to and subscribed before me on this Z I sf
day of LJeto~~ 2t1LD, by , who is personally known to
me or has produce fLD L-- as identification and
who did take anoaili CJ~ f
Deputy Clerk/Notary 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 2007-2~.
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# 007114303
10/21/20108:28:47 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
DAVID WHEELER
TR TRANSPORTATION
CONSULTANTS, INC.
13881 PLANTATION RD STE
11
FORT MYERS, FL 33912-
4339
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:
Check# 1267
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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