2003/2004County 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
BY: ANN J
DEPUTY CLERK
RECEIPT: 4064513
NAME : ANDREW WOODRUFF
PAYOR: ANDREW WOODRUFF
REFNC: APJ
DEPT: BOARD MINUTES AND RECORDS
(ti �9St,�0, U
cl 1 L)'f
DESCRIPTION AMOUNT
LOBBYIST25_00
TOTAL DUE: 25.00
Page 01 of 01
W -�5o00
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
I W N�LA E04 DATE /0 - 0/-6, "1
BUSINESS ADDRESS
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) 0'o Li0✓,Ji/ 1,4 1, crn . c�. mil _ /,.
2)
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
Lobbyist Si ature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registratiq vas sworn to and subscribed before me on
this the I cf d! b
who is rsonall kno to me Or who has produced
as
h.<.identifion and who did t,`,1anJktfeY� aQn Y/ oa
Pskitle i
"yc«mw0MDD0++ete BY:
Expos n206Deputy
Clerk/Notary Public
Please Notes 1) Failure to renew this registration by the renewal
date of October lot will result in the placement of this registrant oa
a "status unknown• 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 Fes is $25.00 per
Lobbyist according to Ordinance 99-22