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2000/2001 K- f %~~{) County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 Dwight E. Brock Clerk ORIGINAL OFFICIAL RECEIPT When Validated BY: ELLIE H DEPUTY CLERK RECEIPT: 3336582 DESCRIPTION AMOUNT ============================= ---------- ---------- NAME: PAYOR: REFNC: JASON H. KORN JASON H. KORN EJH LOBBYIST 25.00 ,:';:tl 23761;17"1 t2/21/20QfJ CHECK: ~j~UU ~11 At~1T ~"':;.... '!':\ t: ;H.LU~ 25. !]C~ DEPT: BOARD MINUTES AND RECORDS TOTAL DUE: 25.00 Page 01 of 01 J{-s JtJtJo COLLIER COUNTY 3301 Tamiami Trail East NaPles, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM DATE 12/14/00 NAME .1rl~nn H Korn BUSINESS ADDRESS Cummings & Lockwood 3001 TAmiami Trail North Naples, Fl 34103 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Le1y Barefoot Beach property Owners Association, Inc. Lely Barefoot BEach Master Association, Inc. One LEly Beach Boulevard t)onita SpLillY:::;, FL 341J4 2 ) c ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me on this the \",,\x'" day of Decembe~.... 2000 , by Jason H. Korn who is~sonally known~o me or who has produced as identificatio and who did ath. Gl Heather L. De8ank> QomuUston # QO 146114 BY : "II: Expl~ 1,2003 . . Atlantic BoIl~" lno. Please Note: 1} Failure to renew this registration by the renewal date of October 1st will result in the placement of this registrant on 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 Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22