2009/2010
Receipt# 007044595
1/6/20104:28:03 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
JERRY L. HECKERMAN
RENDA BROADCASTING,
INC.
(WWGR/WJGO/WGUF/WSGL)
10915 K-NINE DRIVE
BONITA SPRINGS, FL 34135-
6802
Deputy Clerk
BMR CASHIER
MinutesandRecords@CollierClerk.com
239-252-2646
Clerk Office Location
Collier County Gov!. 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:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires q { ~O 10
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name J~:A~'1 t.. /1'L.Cf<!r;.IU1~tJ Date /-6,-/-'0/0
Business Address I 0 'I I 6' fr - jJ A/ E.. /J ~ I v S
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Business Telephone /..39 - LfY5'-fPl5' l' E-Mail J JI<;c.~<;Jll1lJ/V CJ Irv04/NrPJOc.tf7;.
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NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: /"
l?fvlJ 4 i?I?01'()c/;)Tlv{J ('
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2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lobbyist Signature
State of Florida
County of Collier
The fore,going registration was sworn to and subscribed before me on this Y fi1
day of 0ctnlJ<\.c~ 2010 ,by , who is personally known to
me or has produced t:"l- 1L- as id . fication and
whodid<"'m_. B ~
Deputy Cler otaryPub c :
The annual registration fee is $25.00 per Lobbyist, according to Collier Coun
Ordinance No. 2003-53, as amended by Ordinance 2004-05 andO"'dhj~nce 2001-24.'
Please make payment and mall to: Collier County Clerk of Courup..... . . . . ' . .
Dwight E. Brock, Clerk of Courts (at the address listed at the top of tlli! fotOl); ...