2006/2007
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT: 5003507
NAME :
SUSAN WATTS
PAYOR:
SUSAN WATTS
REFNC:
APJ
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413 044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DESCRIPTION
Gp. C1 \0-+
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:: Hf~f\;GE:
~.r~1T PAID~
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"J, 5 ~ 1JO-
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AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
TOTAL DUE:
25.00
Page 01 of 01
COllier~ C. ttty
3301 Ta '~i Trail East
Naples, F . 'j 34112
II
BOARD OF COUNTY COMMISSIONERS
. i LOBBYIST REGISTRATION FORM
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Name ::i :;,USO V\ \-\4~ \ ~ Date I I' '110 l-
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Business ~dress.-W 0 COLf)V\\) i:.j;J \ Sui-tt- ZOO
~n~Vltt,,\SJ (:::L- :,4\5S
Business ll,ephone 3. 0 - E-Mail .S U. 5<~UWJ e \ao n i -b l2iL\':'tOd r c "....
NAME ~D ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEAt"TTACH ADDITIONAL SHEETS IF NECESSARY
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Expires
Lobbyist Signature
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State of drida
County o~foJUer
,I
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The foreg~ng registration was sworn to and subscribed before me on this
day of I , by _ ' who is personally known to
me or hasi uced as identification and
who did t. e an oath.
BY:
:i
II Deputy ClerklNotary Public
The ann~ registration fee is $25.00 per Lobbyist, according to ColUer County
Ordinan~i No. 2004-05
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