2003/2004
County of Collier
CLERK OF THE CIRCUIT COURT
BY: ANN J
DEPUTY CLERK
RECEIPT: 4057835
NAME :
PAYOR:
REFNC:
JAY WESTENDORF
JAY A. WESTENDORF
APJ
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DESCRIPTION
W' ~700D
q}QOD~
~)#:
011/29/20C2;
-;!""-"'!'c..,.... :"
".: :: ~ .........--
....J....; -!"-l.,..:..
CHECh:~
25.0D
AN
1.6.1''1'" :"",A 1"r'\..
Hn= :-~l.Ll~
25~GG
DOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUEl
25.00
Page 01 of 01
Ns~ 03 20 OS:~S~
Bosrd Minutes L Records
774-8408
F' 1
COLLIER COUNTY
3301 Tamiarni Trail East
Naples, Florida 34112
. :
NAMB
-Ya!}
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
/Ne6+-enclOr/'
Vano-S5G ~ Da:)/Or I LL P
I ~ 1 30 /Ve(,u orl Hen:f BIlId .,
(Dr+- Hjer.s F L 33QOi
DATE
0,/;),;),,/03
EUSINESS ADDRESS
S +e. ~ () 0
NAMES MD BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1)
See a+rached- lis-!-
2)
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
. ",'UII",
__~~~YP~" CAROL L. WIREBAUGH
. !~\ Notary Public - State of Florida
~~~i-J MyComm6sD1 Bcp-es May 17, 2JXI5
. "'~,ClFf\.~,'-' Commission' DD026755
'un'
STATE
COUNTY OF COLLIER
-
- - - ~-
The foregoing registration was sworn to and subscribed befpre me on
this the ~~ ng day of 5-ep-f. , by ~~ LUes-ffYndor+- ,
who is(personally known to m~or who has produced
as identificatio~ and who did take an oath.
BY' ~~.tJ~
Deputy Clerk/Notary publ '
pleasQ Notal ~) Failure to renew this registration by the renewal
date of Ootober 1-t wi11 result in the placern~nt 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 ~egistration Pee is $25.00 per
Lobbyist according to Ordinance '9-22