2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires:
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: [);eVlct.L- ,~ Date: tn ~t 10
Business Address: 16C) 0 ls'a~u.,,*c t-oCXi-- No~
NCApkS I rl- ~tfla?--
Business Telephone: J-lj1,' ht.f04 1- leSt Email:
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
,. NopCe'S 1~" nc
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
State of Florida
County of Collier
day of 0 cf . ~Ol 0 ' by (J)ti...--lJtck L, T~ T2 la rr
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c:::X.. 0 -
The foregoing registration was sworn to and subscribed before me on this
, who is personally known to me
,
or has produced
as identification and who did take
an oath.
..... ... 11.,1 1,..11 11.,1 ". ... .... ....... ". ....
: CAMILLE PICKENS :
i i!1"'III"'~ Commt 000745897 5
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~ \~.1J Expires 11312012 ~
: ~ FIorlda Notary AsIn., Inc ;
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BY:
~/' /L~~0-'
Deputy Clerk/Notary 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
mall to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at
the top of the form).
Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007115253
10/26/20109:03:46 AM
Customer
DAVID L. TETZLAFF
NAPLES ZOO, INC.
1590 GOODLETTE RD N
NAPLES, FL 34102-5260
CQXlvo@o([)O ~@@@DC0ls
Deputy Clerk
BMR CASHIER
Minutesand 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# 13307
BALANCE DUE:
AMOUNT
$25.00
$25.00
($25.00)
$0.00
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