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2004/2005 County of Collier CLERK OF 'THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P . O. BOX 413 044 NAPLES, FLORIDA 34101-3044 ORIGINAL OFFICIAL RECEIPT When Validated BY: LINDA HO DEPUTY CLERK RECEIPT: 4349986 DESCRIPTION ----------------------------- ---------- ----------------------------- ---------- 25.00 NAME : KENNETH PA~:;SARELLA LOBBYIST PAYOR: KENNETH C. PASSARELLA LAH REFNC: DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 pr Q(C(oo !:fiDe 4349986 10/01/2004 25.00 Vi: 3359066 10/01/2004 CHECK: 25.00 MC AMT PAID: 25.00 AMOUNT TOTAL. DUE: 25.00 P-OtQOO q\05 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM q 11;0/04- NAME BUSINESS ADDRESS YlIO (n\~.e Calrt ~y ~ l' El- 33ct\ g NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: l)~~S 2) ATTACH ADDITIONAL SHEETS AS MAY BB NBCBSS~ JIV;4 , Lobbyist Signature STATE OF FLORIDA COUNTY OF COLLIER The fOregOing~registratio~o aWl s~;r~ befoUl me 211 nl/I this the ~~ ~ \. ~r by fl e. '4AWU!.I'4-aJ wh9~,,4-JJQi@ ~~~. '. . .Y't.~ me or who has produced ""..."....'" KRISTA L, FALZARAw:B j'.dentification and who d. i.d take an oath. '"' . 0 ~ " ,,- ""id> . ~~ ~. . ~ My Canm's&io!'l Expies Fell 23, 2000 %"!>: g Commil!.ion' DD079546 BY: ''liJ/f,/I! Boo'" B, '.lioo.1 "ota~ "",. Deputy C~NO ~ J ~III "IIt'>~ "'J"'tP'" '7;,;)':1"".':rJ"i~~\ Please Rote. 1) Pai1ure to renew this registration by the renewal date of October lat will result in the placement of this registrant on a .. status unkno'wn- list. 2):If one wishes to revoke this registration, a -Lobbyist Withdrawal- form must be filed with the Clerk to the Board. 3) Annual ~egistration Pee is $25.00 per Lobbyist according to Ordinance 99-22