2004/2005County 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: LINDA HO
DEPUTY CLERK
RECEIPT: 4347870
NAME : W. TERRY COLE
PAYOR: W. TERRY COLE
REFNC: LAH
DEPT: BOARD MINUTES AND RECORDS
V#: 3356985
CHECK:
MC AMI PAID:
DESCRIPTION
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LOBBYIST
TOTAL. DUE:
Page 01 of 01
09/29/2004
25.00
AMOUNT
25.00
25.00
COLLIER COUNTY
3301 Tamiami Trail East F-4
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
DATE September 14, 2004
NAME W. TERRY COLE
BUSINESS ADDRESS 950 Encore Way
Naples, Florida 34110
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) SEE ATTACHED
2)
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
%v �� 1�96
Lobbyist Signatur&
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to andsubscribedbefore me on
this the 14TH day Of SEPTEIffiER 2004 roduced
who is personally known to me or who has p
as identifications e�a�0�`
'R::•..ppULETtE DE9US CHARBDNNEAU PAIILETTE DEBUS CHARBONNEAU
:r MYCOMMISSIDNYCC958900 SY: public
EXPIRES: Decerrber 7, W .C/Notary _
eonME Th,u g W ry P W k UM,r„INn
please Notes 1) Failure to renew this registration
of y the
registrant on
date of October 11° will result in the placement
a "status unknowns list. 2) If one wishes to revoke this
registration, a sLobbyist 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