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2009/2010 Receipt# 007046864 1/19/20103:04:02 PM Dwight E. Brock Clerk of the Circuit Court @VVO@O([}o ~@@@OC[)Q Customer NORMAN J. TREBILCOCK TREBILCOCK CONSULTING SOLUTIONS, PA 6660 MANGROVE WAY NAPLES, FL 34109-7814 Deputy Clerk BMR CASHIER Minutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Gov!. 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# 1112 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~@O 0 o@rr~O@rrfJlD @@{f[f[J Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: 2010-10-05 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Norman J. Trebilcock Date: 2010-01-15 Business Address: Trebilcock Consulting Solutions. PA 6660 ManGrove Wav Naoles. FL 34109 Business Telephone: +1 (239) 566-9551 Email: ntrebilcock@trebilcock.biz NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: l.Norman J. Trebilcock. AICP, P.E. PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY ~fU- State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this ./.~'o/VY".""'"" ~ I .0 ll.. 0 . ...., .. " ..... .... '.. .....'. -'. , who i persqnally known-to m'€!. day odQy\l)1Y~ fOlD , by BY: or has produced fL an oath. The annual registration fee is $2S.00 per Lobbyist, according to Collier county Ordin4nc No. 2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make pent 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).