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2008/2009 Dwight E. Brock Clerk BY: ANN J DEPUTY CLERK RECE I PT : 5 6 3 3 0 0 8 NAME: JOHN BARLOW PAYOR: JOHN BARLOW REFNC: APJ 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 P> ~W(j:) J -gp. q "i .);*: .t6892:9J ;~:!:/ "1"J. ..:'~~~.J~9 ,..:i.,) AMOUNT DESCRIPTION LOBBYIST ----------------------------- ---------- ----------------------------- ---------- DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 25.00 TOTAL DUE: 25.00 9)22ft;fJ) Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 3J,l12 Expires ~_~_ BOARD OF COUNTY COMMISSIONERS IA~ Fof1- tv~ LOBBYIST REGISTRATION FORM ;/te..J ;,V\k'tlc.... Iv.... '-1' 12 /~.J l).jt! O{)j)()A..'fV~ / / Name___~r4'~V vA!l('oW - J' bate III 09 ~3S-1 ~/.( Sho/te 8Iu(). N. ~,-lJ~u~ (etA) NAples) fCL- 3lJ/o3 Business Tel ,phone 1. '57- (, <f 1- b 5 ~Mail Ii>~ .oJ ho..v/o oJ(!> (~1t/a.1 ,,-. v..;J-- oJ Business Adclress NAME ANn ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: I). /-J() u 51 v'1 tJ If/) A:TV AJ I /1"J M /r{) e. .f,I'-J?//i?'"[(/v/ ., ]AJ '- 13 ~-:-I r;.v. {( ~h() 1Le, B (v f), A.J. I( eil)f.vc.A- /'1 JJ 1rJ~~pl~} I PL. ~~( i)/ 2). PLEASE ATTACH ADDITIONAL SHEETS IF NE ]J:1r~ State of F!lorida County of Collier The foregoing registration was sworn to and subscribed before me on this d/ fh day of ;4lhf!,-(!,,t 1M ' by :jOftl\i. f bjlhllA)~ , ~ho is personal y known to) ~or has produced as idemificanon ana who did ta BY:ttlMMJ tl /!4f'H~~ Deputy Clerk/Notary Public The anDual registration fee is $25.00 per Lobbyist, according to Collier 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).