2008/2009
Receipt# 007010783
8/5/2009 1 :52:09 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
DAVID L. TETZLAFF
NAPLES ZOO, INC.
1590 GOODLETTE FRANK
RD
NAPLES, FL 34102-5260
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# 3578
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
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Name
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
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Date
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Business Address
Business Telephone~6?~ S qOtj A" I ()1- E-Mail
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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PLEASE ATTACH ADDITIONAL SHEETS IF NECES
State of Florida
County of Collier
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The foreg;ti.og registration was s~om to, and s~seribed before me on this -'^~ -
day of 0U~' Joo,! ,byc:!~u, dim C_/iT:L/tZrf ,_who IS personally known to
~or has prod ced _ _. . 'm" as identification and
who did take an oath.
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The annual re2istration fee is $25.00 per Lobbyist, accordin2 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).