2009/2010
Receipt# 007036724
12/1/20099:45:14 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
ROGER B. RICE
ROGER B. RICE
9010 STRADA STELL CT
STE 207
NAPLES, FL 34109-4427
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 Re9istration
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 Tarniarni Trail East
Building F, 4th Floor
Naples, FL 34112
Expires 9/2010
Date
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c.r #d67
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PLEASE ATlACU ADDITIONAL SHEETS IF N~~ V -'
Lobbyist Signature
State of Florida
County of Collier
The fore oing registration was sworn to and subscribed before me on this
day of her ZIO't ,by ,who is personally known to
me or has produced R- "PL. as identification and
who did take an oath.
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BY:
Deputy CJerk/Notary Pu r
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).