2008/2009County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT:
55687220
NAME :
GINAMARIE PUGLIESE
PAYOR:
GINAMARIE PUGLIESE
REFNC:
APJ
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
ap 410�
DESCRIPTION AMOUNT
LOBBYIST25.00
TOTAL DUE: 25.00
Page 01 of 01
}P -1 C10 00
Board Minutes &Records
Expires: 2007-10-08
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
BOUNTY CO
�OBBYISTFF OREG STRATIONSFORM
RS
Date: 2007-10-05
Name:
Business Address:
Business Telephone: �l,S a(a�-�TlE ail:
t
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1.
N►4� � S i�Z� {ASS o C.[Cc�7 rr-
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
Lobbyist Si nature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this q
+t1
c� who is personally known to me
day of�inl_ by 1 tV�C���rl� t' ��� (J�
as identification and who did take
or has produced
.`+'0•Y °`B<', Notary Public - state of Florida i
an oath. My Commission Ezpires Jan 3, 2010 /' j ,
S�dF commission it DD 503822 BY: l� lN"
t f�d'� Bonded By National Notary Assn.
Deputy Clerk/Nota Public
The annual 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).