Milholland, Jack Lobbyist # M - 41060 I M Collier Joint Ventures
Lobbyist Name: Jack Milholland
E-mail: jmilholland@atcoinc.com
Date Received Details
4(24 6 G Kl.A,v C.06104,t- - 9109
Saved as: (Q drive)Lobbyist Data Sheet
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,�,�E CiRCG� County of Collier
*4`31 .41//� �, CLERK OF THE CIRCUIT COURT 446 0
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.r �G COLLIER COUNTY COURTHOUSE
��E1\ 3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
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Dwight E. Brock ORIGINAL
Clerk
OFFICIAL RECEIPT -''4
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When Validated --- - -
BY: ANN J
DEPUTY CLERK
RECEIPT: 5645054 DESCRIPTION AMOUNT
NAME : JACK MILHOLLAND LOBBYIST 25 . 00
PAYOR: JACK MILHOLLAND
REFNC: APJ
DEPT: BOARD MINUTES AND RECORDS TOTAL DUE : 25 . 00
Page 01 of 01
Board Minutes & Records Expires: 2009 April 2
3301-Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Jack Milholland, Jr. VP/General Manager Date: 2009 April 2
Business Address:
Merit Petroleum Company
P. 0. Box 816
LaBelle, Florida 33975
Business Telephone: +1 (863) 675-2301 Email: jmilholland @atcoinc.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1.
Merit Petroleum, Inc.
P. 0. Box 816
LaBelle, Florida 33975
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
st14/ 1
obbyist Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
day of ntiarch, 001 , by .3a0.,k u , m lhv(Jcivd�Jr , who is personally known to me
as identification and who did take
an oath. ,,.. JOO4A. , •
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4-1/ Wad TIwouellelomi NolryAssn. • puty Clerk/Notary Public
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).