2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
(h- / 3800
Expires: 9/ CJO( 0
BOARD OF COUNTY COMMISSIONERS
-LOSeVIST REGISTRATION FORM
Name: Marco Island Chamber of Commerce
Date: 10-20-2009
Business Address:
1102 N Collier Blvd
Marco Island FI. 34145
Business Telephone:
+ 1 (239) 394-7549
Email: joyce@marcolslandclothing.com
NAME AND ADDRESS OF EACH PERSON OR ENnTY REPRESENTED:
l.Joyce McFarland 1084 Dill Court Marco Island Florida 34145
PlEASE ATTACH ADOITYONAL SHEETS IF NECESS.~...... / . '-___: t
'/ ~; j!)f ~J-
/ ~~ 1st Signature
'-/'
State of Florida
County of Collier
b b h 'J <>d\
The foregoing registration was Sworn to and su scri ed before me on t is ~ n
day of OckhQj 01 ' by G Cx1 r Q A. ~c fOIICVIC( , who is personally known to me
or has produced + J? '0 L M 2 (b 4d \ S '2t; f 0 0 as id~ntifjcation and who did take
an oath.
",",,,,,,
"~;~,,y P~;"" OlCAV OZTIMURLENK
~~ . . ~~ . .
= . : Notary PUb"c . State of Florida
\;. ~} My Comm. Expires Jan 22. 2013
";:'~o",~"" Commission" 00 853771
1"",,
BY:
The annual registration fee is $25.00 per Lob st, according to Collier county Ordinance No.
2oo3-53,a5 amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment and
mail to:Colller County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at
the top of the form).
Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007029406
10/26/2009 2:56:50 PM
NE\J
Customer
JOYCE MCFARLAND
MARCO ISLAND AREA
CHAMBER OF COMMERCE
1102 N COLLIER BLVD
MARCO ISLAND, FL 34145-
2547
@VVDC650([][! ~C@@@D~U
Deputy Clerk
BMR CASHIER
Minutesand Records@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Govt. 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# 6253
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
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