2003/2004
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
BY: ANN J
DEPUTY CLERK
RECEIPT: 4064514
DESCRIPTION
----------------------------- ----------
----------------------------- ----------
25.00
NAME :
KENNETH PASSARELLA
LOBBYIST
PAYOR:
KENNETH C. PASSARELLA
REFNC:
APJ
DEPT: BOARD MINUTES AND RECORDS
.~ -7
.~:V:"l" .,
TOTAL DUE:
Page 01 of 01
P OICJO[)
4/01
AMOUNT
25.00
p o)c1"Oo
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OP COUNTY COMMISSIONERS
LOBBYIST RBGISTRATION FORM
NAMEJtn()e~th f. Po. \~tlYfj {aJ DATE
q/IO CDJ/~~e- fD,n1'f, (OllY+
~r~ m~ Ff DndtL ~C;~
-ClS-= rU - rd () J1d. W; _a ,- J.TJIr '
/0 I J I o~~
. .
BUSINESS ADDRESS
NAMES AND BUSINBSS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1)
2)
ATTACH ADDITIONAL SHEETS AS
MAY BE NBCESSARY ,;Ii
~
Lobbyist Signature
STATE OF FLORIDA
COUNTY OF COLLIER
me on
Ple... Rote. 1:1 'ailure to rene" this regi.tration by the rene"al
date of October 18t .i11 resu1t in the p1ac..ent of this registrant on
a -.tatu. unknown- 1ist. 2) X! one wishes to revoke thl.
regi.~ra~ion, a .Lobby~.~ W~thdrawal. form au.t be fi1ed with the
C1erk to the Board. 3) ADDua1 ~egiatrat~on ~ee ia $25.00 per
Lobbyiat according to Or4~anc. 99-22