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2004/2005 BY: LINDA HO DEPUTY CLERK RECEIPT: 4347679 NAME : DWIGHT NADEAU DWIGHT NADEAU LAH PAYOR: REFNC: 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 DESCRIPTION t{. 0 '1:'sOD qlo5 , VI: 3356760 09/29/2004 CHECK: 25.00 MC AMT PAID: 25.00 AMOUNT ----------------------------- ---------- ----------------------------- ---------- 25.00 LOBBYIST DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 TOTAL DUE: 25.00 N 0450v COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM ..... ().0!ght ~u \~ DATE IT;:;)~~ BUSINESS ADDRESS . ~t\rx:YSh~ IV ,~rf1270 nQr\~SI f"\[(\ r\1 341D4 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) \/ClC\D15 . 2) .--- ATTACH ADDITIONAL SHEETS AS MAY BE NECESS /' Lobbyist Signature STATE OF FLORIDA COUNTY OF COLLIER The forego' this the who is erso *registration was sworn to and subscribed before me on , da of :',(,iJf-f'.mhf'r ,by 011) ,nht- rrr/rou kno to'"'iiIe or who has produced ZJ" .~!l ..i~entificatio and who d' ke an ~ath ~~,,,I~~,,. TRINITY l...t.l.:AW'11 l\ s.', N t P . f>\ 0 ~ry ut dIe S1, ]1.- ,.F{'orjct: BY : .:MtCorllnlt'.~l"lh!."I..'.A.rr~f12.0rn .r ".l COrTlIl\1SSIUI, 11 DOS '12.331 ~ BondedfiyNnhr\p),)lfj"I,,,. " . I ~l~. to renew this registration by the renewa1 date of October 10' will result in the p1acement of this registrant a ostatus unknown" list. 2) If one wishes to revoke this registration, a "Lobbyist withdrawa10 form must be filed with the C1erk to the Board. 3) Annua1 ~egistration Fee is $25.00 per Lobbyist according to Ordinance 99-22 on