2007/2008Dwight E. Brock
Clerk
BY: TERESA D
DEPUTY CLERK
RECEIPT:
55277344
NAME :
MATT MCLEAN
PAYOR:
MATT MCLEAN
REFNC:
TLD
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101 -3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
V#: 4265W 04/28/2007
CHECK: 25.00
CT AMT PAID: 25.00
DESCRIPTION AMOUNT
LOBBYIST 25 00
TOTAL DUE: 25.00
Page 01 of 01
d'u- 13q
Collier County Expires: �� D
3301 Tamiami Trail East
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: C Date
C�
Business Address: 9990 Coconut Road Suite 200 Bonita Springs, FL 34135
Business Telephone: 239- 495 -1000
E -Mail
'NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). Bonita
9990 Coconut Road Suite 200 Bonita Springs FL 34135
2)
PLEASE ATTACH ADDITIONAL SHEETS IF NEC 0
Lobbyist Signature
State of Florida
County of er�gSL
The fore6 registration was sworn to and subscribed before me on
this �l ►� �n� l s,,,�
Day of � , by b Q eu) ,° � 0, who is _Qers_ onally known to
me or has produced
as identification and who did take
an oath.
WJRRAY BY:
12W2 MO
E Deputy Clerk /Notary Publi�I ^N MURRAY FbMG NWryAm.=rc
The annual registration fee is $25.00 per Lobbyist, according to Collier County
Ordinance No. 2004 -05