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Chadwell, Ellen Lobbyist # C - 46000 Ellen Chadwell Lobbyist Name: Ellen Chadwell E-mail: etchadwell©hotmail.com Date Received Details 3111101 004) . 9/09 Saved as: (Q drive)Lobbyist Data Sheet LI(400 pp. cfpoiYi County of Collier CLERK OF THE CIRCUIT COURT 4%. • eg: tz,) COLLIER COUNTY COURTHOUSE *-4 4 U 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 Dwight E. Brock ORIGINAL Clerk OFFICIAL RECEIPT When Validated -To BY: ANN J DEPUTY CLERK RECEIPT: 5635884 DESCRIPTION AMOUNT NAME : ELLEN CHADWELL LOBBYIST 25 . 00 PAYOR: ELLEN CHADWELL REFNC: APJ DEPT: BOARD MINUTES AND RECORDS TOTAL DUE : 25 . 00 Page 01 of 01 Board Minutes&Records Expires 3301 Tamiami Trail East Building F, 4th Floor Naples,FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name o f ( • a s od W t%!I Date 3- 16 - 0 5 Business Address 23 S2 -(4e-r r -o C 6 ce h S ,46,e ( -FL 3 `-t f Business Telephone 231- L A 3- 9 9 ( E-Mail ( hi...AA l Levy, NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). M c i s us/+ LL.L 1 e gn. ) a R 33110 2). PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY Lobbyist Signature State of Florida County of Collier The foregoing r gissttratatiiowas swo to and subscribed before me • • •' day of�Ya , by Z4 , w•o is .er.snally known t, me or has produced as 1• - . •• and who did take an oath. BY OULU.- 0 ! Deputy Cler ''. . , is 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 2007-24. 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).