2004/2005
.
H . ~Ll8OD
q/oS
County 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
VI: 3356983
09/29/200',
BY: LINDA HO
DEPUTY CLERK
CHECK:
MC AMT PAID:
',,, 00
k_'
25.00
RECEIPT: 4347865
DESCRIPTION
AMOUNT
NAME :
GEORGE HERMANSON
GEORGE H. HERMANSON
LOBBYIST
----------------------------- ----------
----------------------------- ----------
PAYOR:
25.00
REFNC:
LAH
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
HOLE MONTES, INC.
VeMor ID:' 1317
Cher:k Amount:
Invoice #
Hermanson04
Date
09/17/2004
25.00
COLLIER CTY CLERK OF CIRCUIT COURT
Invoice Amount Gross Payment
$25.00 $25.00
Discount
Check#: 30543 30543
Date: 09/17/2004
Net Payment Notes
$25.00 George Hermanson - Lobbyist Registration
t-J - c?, L.I'B 0 D
COLLIER COUNTY
3301 Tamiami Trail East F-4
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME
George H. Hermanson, P.E.
DATE September 17. 2004
BUSINESS ADDRESS
Hole Montes Inc.
950 Encore Way
Naples, FL 34110
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1)
See attached listing.
2)
ATTACH ADDITIONAL SHEETS AS MAY BE
Lobbyist signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing, registration was sworn to and subscribed before me on ~
this. the I '1~ day of ~ ~za,,'-( by ~"'. \'\, \\~~~
who ~s personall known to me or who has produced
s ~ ent fication and who did take an oath.
'-~ ~
BY nt"""'<t.-~
uty Cle~ Public
. 0... 111
. .....--
i ....._P~l. tIS4.
1.........1..14 -:--~""".Inc:
............,
Please Note. 1) Failure to renew this registration by the renewal
date of October 1". will result in the placement of this registrant on
a .status unknown. list. 21 Xf one wishes to revoke this
registration, a .Lobbyist withdrawal. form must be filed with the
Clerk to the Board. 31 Annual Registration Fee is $25.00 per
Lobbyist according to Ordinance 99-22