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2009/2010 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 V -6~2/JO lfp 1 dO(O BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME Patrick Vanasse DATE October 16,2009 BUSINESS ADDRESS 6610 Willow Park Drive, Suite 200 Naples, Florida 34109 Business Telephone 239-597-0575 E-Mail pvansse(cVconsult-rwa.comavr(cVconsult-rwa.com NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: See attached list 1) 2) ATTACH ADDITIONAL SHEETS AS MAYBE ~~ ..--------- LobbYl t Signature STATE OF FLORIDA COUNTY OF COLLIER T e for going registration was sworn to and subscribed , ~, It 2009 by , , me or who has produced oath. "'-:;'~'~~" ANNA ROSA ~'#t ""'>i !.l'J.;.,\';: MY COMMISSION # DO 599004 ~.~~~:l EXPIRES: October 13, 2010 "~iif..r..it.. Booded Thru Notary Public Underwriters before me on this the j([J 'hctay of who is per~()11l!llylQ}Q~IILJ9 as identulCationand who did take an BY: ---{J,Vl/;Il ---- puly ClerkINotary 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). Dwight E. Brock Clerk of the Circuit Court Receipt# 007027591 10/16/20092:19:07 PM Customer ROBAU, CARTER, ANDERSON, SUNYAK, WRIGHT, VANASSEE, MULHERE, AND NADEAU RWA, INC. 6610 WILLOW PARK DR STE 200 NAPLES, FL 34109-9014 @aa~@~([)[l [~(};)@@DCQ)~ Deputy Clerk BMR CASHIER Minutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $200.00 TOTAL AMOUNT DUE: Check# 20824 BALANCE DUE: AMOUNT $200.00 $200.00 ($200.00) $0.00 ~@OOo@rr((;;O@rr!ko @@{f[fiJ Page 1 of 1 "U OJ to CD to C:l to ;I> ;I> ;I> ;I> )> ;I> ;I> 2; ;I> ;I> ;I> ;I> )> ;I> ! z ~ Pl ~ Pl <: <: s:: s:: '" C/'l .... '" ::1 - ,.,. to Il> 0- " en <> .... '" () 8" 8" '" () (JQ N 0.. 0- 3 3 ~ ~ :;; .... 0 cr 0 0 '" '" Pl ::1 V 0 ~ ::1 3 0 0 en N .... ;:s. ::1 '" '" v )> ::1 to ::l '< '" en () () ::l (1) l' ~ ~ ::. -l Ro 0 (1) <: '" ~' () 5' n ;I> ::1 "'C 0 IZl (1) <: e. ~' ::;' 0:: " V ." '" () ::1 " ~ " ::l 0.. C1> go :4 () ::l '" (1) '" 1i (1) ~, :J 0 .... 1i - @ ,,' e .... <: ::l .... '" = )> ::1 ~ en '" en '" () '" "0 (t g: 3 .... 0 ::l ~ " ::: '" 0 ..., 0 0 0- Pl .... 0 (1) 3 5' () .... "en .... ::l Z "0 en C1> "=1 go ;:s. (1) ~ '" '" N ~ 0 .... ~ ::1 2- 3 l' :;, l' (j ;:s. Q 3 ~, (1) (1) l' 5' l' is $:; - "0 q (1) .... ~ ~ ::1 3 ;:s. () () '" -. 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