2007/2008
Dwight E. Brock
Clerk
BY: MARTHA
DEPUTY CLERK
RECEIPT: 5322941
NAME:
PAYOR:
REFNC:
BURT L. SAUNDERS
BURT L. SAUNDERS
MV
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
DESCRIPTION
V#: 4310268
CASH:
CT AMT PAID:
3-05000
q/tJ~
11/27/2007
25.00
.,,, no
;....;a".J
AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
TOTAL DUE:
25.00
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
s - tJ5Cf)()
Expires *
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name
;3url
{. .(~U(n"/'Y.f
srS-o
Sq,;{
Date ;n>o. ? '? lad 7-
Business Telephone ~- UI-~OO
7"4/>-?/ q,..,. 7r~,--/
6"00 / )1;yJh,
,
E-Mail bS4t.",cAYJ a. 5rav-rrJ(;/lSIn. (P.....-.
$Irzi':
R
11tJ]'
Business Address
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). Iop?~ fii>i t1Jfor#tf,/~ (6rQ4tlcJ~1 ~;r.tj) ./JtV'/P~ c'i$ti
2). /}rO{)(I.h,,,, . /)ivj fJiJ.,f /ffJ;h'J .-. $1 iP,;"C,./,!
/
PLEASE ATTACH ADDITIONAL SHEETS IF NECESS
Lobbyist Signature
State of Florida
County of Collier
The for~&oing registration was sworn to and subscribed before me on this ~/.~ II", I, '..'" '. .
day of f,J6CJf.t'A."ii ~ ,by ~f /.... ~.l.e,r-5 , who is personally oWR.1A.. / ,"',
me or has produced as id!=iltificjltio~ and "'<:/" \.
h d'd ak h ..." . . .
WO 1 t eanoat. "U" '.ii:"..,.. ","'.c:
r...,
. . ,
DeputyClerWot ~blic .';:: ..,' ,:'
Tbe annual registration fee is $25.00 per Lobbyist, according to COllie~'Coun~": ~ " ',;
Ordinance No. 2003-53, as amended by Ordinance 2004-05 and Ordinanc~' 2007-24;.
Please make payment and mail to: Collier County Clerk of Courts or
Dwight E. Brock, Clerk of Courts (at tbe address listed at the top of the form).