2009/2010
Receipt# 007081316
6/1/20102:53:19 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
CAITLIN WEBER
CONSERVANCY OF SW
FLORIDA
1450 MERRIHUE DR
NAPLES, FL 34102-3449
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:
Check# 2385
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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Page 1 of 1
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Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name:
C.a.i-t-Lin IA)eh~t""
Date:
(PIt/tO
Business Address:
1450 Merrihue Drive
Naples. FL 34102
Business Telephone: 250. ~'2. O~~ e.lC+251 Email:
(I.o..<j rn @ (l..onser-vo.n~. 0 r~
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
Conservancy of Southwest Florida
1450 Merrihue Drive
Naples, FL 34102
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this
day of _~ ~ ' by ,who isperso~".I~.~.:~~own to me
or has produced ~~'l'-' "toL, L. as id#~tifi~~~i~n'and ~~O~id'take
B'~~~
~ Depqy Cle.rk/NotarypvbJic.... .
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The annual registration fee is $25.00 per Lobbyist, according to collierc~LiA.ty':6rdtri..;:t~~~0.'
2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please makE! payme"t and
mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the,addr:e5slisted at
the top of the form).
{<6t
an oath.