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Gazica, Michele
Lobbyist # G - 39000 Roetzel &Andress, LPA Lobbyist Name: Michele Gazica E-mail: mgazica©ralaw.com Date Received Details (o( l 1 o C k nuAt.! - . q!09 Saved as: (Q drive)Lobbyist Data Sheet .3epoo -E4) . 416q ,,c‘AEciRce, County of Collier 1,11, CLERK OF THE CIRCUIT COURT .e.e. tia COLLIER COUNTY COURTHOUSE -V' M U 3301 TAMIAMI TRAIL EAST \ 00°. P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 Dwight E. Brock ORIGINAL Clerk OFFICIAL RECEIPT When Validated =,52K75 10/01/201;8 BY ANN J DEPUTY CLERK .T? RECEIPT: 5545882 DESCRIPTION AMOUNT NAME : MICHELE GAZICA LOBBYIST 25.00 PAYOR: MICHELE GAZICA REFNC: APJ DEPT: BOARD MINUTES AND RECORDS TOTAL DUE: 25.00 Page 01 of 01 COLLIER COUNTY 3301 Tamiami Trail East Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME Michele W. Gazica DATE October 1, 2008 BUSINESS ADDRESS Roetzel &Andress, LPA 850 Park Shore Drive Naples,FL 34103 Business Telephone (239)213-3866 E-Mail mgazicana,ralaw.com NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Pelican Bay Foundation,Inc. 6251 Pelican Bay Boulevard Naples, FL 34108 2) ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY Lobb j Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me on this the,`,.(..\-1-k day of `}� rn � , 2008, by cti);Ct _4C_ l� . . t.'t Z ∎ C c__ who i personally ka b'wn to me or who has produced as identification and who did take an oath. 0 BY: )c,_.. - - -- eputy Cl k/Notary Public ANA 1sROSE .ti�;Y'Py'., . ' ,., ,� MY COMMISSION#DD 747915 The annual registration fee is$25.00 per Lobbyist,according to Collier County .,. ;., EXPIRES:March 30,2012 'w pF-0` Bonded Thru Notary Public Underwnters Ordinance No 2003-53, as amended by Ordinance 2004-05 and Ordinance 2007-24. 1 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). 850 PARK SHORE DRIVE SUITE 300 NAPLES,FL 34103-3587 RO E T Z E L & AN D RE S S 239.649.2708 DIRECT 239.649.6200 MAIN A LEGAL PROFESSIONAL ASSOCIATION 239.261.3659FAx banderson @ralaw.com October 1, 2008 VIA COASTAL COURIER Collier County Board of County Commissioners Minutes and Records Department 3301 E. Tamiami Trail, 4th Floor Naples, Florida 34112 Re: Collier County Lobbyist Registrations Dear Sir/Madam: I would like to register Michele W. Gazica, Esq. as a Collier County Lobbyist. Please find enclosed the registration form and our firm check in the amount of $25.00 for the fee and the name and business address of the person and/or entity represented by her before the Board of County Commissioners as of this date. Thank you for your assistance. Sincerely, Carol J. Agan Assistant to Michele W. Gazica, Esq. Enc. as stated 568235.000000.0979 CLEVELAND TOLEDO AKRON COLUMBUS CINCINNATI WASHINGTON,D.C. TALLAHASSEE FORT MYERS NAPLES www.ralaw.com