2009/2010
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires Cf/'ZMO
Name
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
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Business Address ~~5 0, ~fv1 f31v~ rf'l<ftJf
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Business Telephone 3/t> -1tl/-1' m E-Mail ~ / /; va /I e f eclrt:<i1S''-'1C . <::;'11
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State of Florida
County of Collier
The fore ' rejlistration was Qorn to aQ < !li>J;crihed, hefore me on this I g
day of G 16 , by to\4N ~~IIJ' ~ , who i persona~ Known!p
me or has produced' as iden~and
who did take an oath. , . ." ...................... !!uL,
' r->u.\lAS M. RANKiNE ::
:,,':':':';:~ Comm# 000564995 ! II
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~ -:;It&f.:;~~ Florida NotaIY ~L Me !
"'............................................ Dep Cl rk/N"otary 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).
Receipt# 007086536
6/22/20108:41:58 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
BRIAN SULLIVAN
TECTRANS, INC.
6053 W, CENTURY BLVD,
9TH FLOOR
LOS ANGELES, CA 90045
Deputy Clerk
BMR CASHIER
M inutesand 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:
Cash Tendered:
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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