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2004/2005 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 BY: HEIDI R DEPUTY CLERK V#: JJ9174J CHECK: AN AMT PAID: RECEIPT: 4383579 NAME : DESCRIPTION ----------------------------- ---------- ----------------------------- ---------- 25.00 PAYOR: THOMAS E. CONRECODE THOMAS E. CJNRECODE LOBBYIST REFNC: HRR DEPT: BOARD MINUTES JillD RECORDS TOTAL. DUE: Page 01 of 01 c - wq~DO q/OO 11/12/2004 25.00 25.00 AMOUNT 25.00 c - {pq ~()O COLLIER COUNTY 3301 East Tamiami Trail Naples. Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME: Thomas E. Conrecode DATE: 10/15/2004 BUSINESS ADDRESS: 3003 Tamiami Trail North, Suite 400 Napies, FL 34103 NAMES AND BUSINESS. ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Collier Enterprises, Ltd.. and the entities listed on the attached schedule. ~~<'v::: ~ Thomas E. Conrecode STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me this the ~ day of October, 2004 by Thomas E. Conrecode who is personally known to me. ?J ~M llIIngIlIm r. . MyCommilllOnOOl85119 \;...':;.1 Elqllle'.IonuoIyOll.2007 Not Public Signature Elizabeth M. Dillingham Printed name of Notary Please Note: 1) Failure to renew this registration by the renewal date of October 1st will result in placement of thi!; 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 Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22. 2004 Lobbyist Registration Attachment Entity Name: Collier Development Corporation Collier Enterprises, Inc. Collier Enterprises, Ltd. Colllier Enterprises Realty Group, Inc. Collier Land and Cattle Corporation Collier Land Development, Inc. Collier LB Collier Management Services, Inc. Gopher Ridge Groves Hamilton Harbor, Inc. Sabal Bay The Old Collier Golf Club, Inc. Address: 3003 Tamiami Trail North, Suite 400 Napl,es, FL 34103 Phone: (239) 261-4455 L\Law\EMD\Miscellaneous\Lobbyist Registration Entities Attachment.doc