2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name ,L/~L.q..u-r 4 ,# ~ ~ e...
Date 9 -
Business Address 567'7 /d/;v' ;c?/1-~ / ' ~,,/ b..5;/--
;V~,;::~"" / ~ L. ..3 y: //.5
Business Telephonc(OZJr) 7//7-&;7.., 7
E-Mail 1'l/lC';j /?e4:.5,.JcC.eUo/. CdM
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). ".?1/ cltue/ .4 ~~ ?c_
// -).5 d~I>,r/7"/7" .)>d~ >>//u-+:..
(J
N4 /.J62A- ~L- _;::;; Y/Q3
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State of Florida
County of Collier
The foregq~g. r1gI,' str~t~
day of ...Jl-1-p1j dU
me or has produced
who . ,'\\'~'\("" . J'~'[ft'l'~tJf:~'W'''''''''']' ,'"
,"....t>.fl u....,
f~O~:~(;~ Notary Publir; . S,,-te of Florida '.
[" · ~; :,)," ~~.1y Cornm;~~:'JOI E.xpires .Ju I 2:J, 20,10, "
;~:",:~~~~~~ Gorrmissicn t: ["D 5768:53 .
."f.~Rrlr,\~\\~'" Bonrf"d G'( h~cjt;"'ll'JI ':i\'ar' A('~n
'.iJ~~"~'9..:~~tt~;~,;; Deputy ClerkIN
The annual registration fee is 525.00 per Lobbyist, according to CoUier 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).
'Tic.(hbC/V
was sworn t.o and (subSCribed before me on this..)t ,
b /f7 /mOt. . ee, who is personally known to
/2 ,. as identification and
BY:
Receipt# 007023283
10/1/20097:52:36 AM
Dwight E. Brock
Clerk of the Circuit Court
(c2)'1~HD CC~? J c1J D C~C~(c~X@ U [?)~~
Customer
MICHAEL MCGEE
MCGEE & ASSOCIATES
5079 TAMIAMI TRL E
NAPLES, FL 34113-4128
Deputy Clerk
BMR CASHIER
M inutesand 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
$25.00
TOTAL AMOUNT DUE:
Check# 5620
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
.~C; n 17 0 ,;;::D /'1 il
~'@ U u 0 @Il!~~ U @{lL;((o (f};@[fffD
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