1998/1999
Dwight ~:. grock
Clerk
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES. FLORIDA 33941-3044
OFFICIAL RECEIPT
When Validated
[j.,e
)1,;"
.c.
J-;
BRANCH OFFICES.
GOLDEN GATE
4839 GOLDEN GATE PARKWAY
GREENTREE SHOPPING CENTER
2386 IMMOKALEE ROAD
IMMOKALEE
101 S. FIRST STREET
MARCO ISLAND
1040 WINTERBERRY DRIVE
'\~'t; ,
. ~....... ....... .... -- ......... --.....-..
............. ~ ,....".........t:::'~ 00 ro;.~'-'u,-o~
".,. ....--ruo
F-e
COLLIER COUNTY
3301 Tamiami Trail East
Naples. Florida 34112
6~b
~of
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME
tJ~~ f6rlf
DATE o/l5"/rr
BUSlNES'S ADDRESS :>2./:>0 B....I.., L-...- Sk. 20<>
Na'(ll<:s, Ft.. 3'1/~
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1) (V\CC:OIA Ot-SG ']::"'<_
3 0 I (ovJ-(''- '(C....<'l
Na.-pl.6.r, FI.- J'-1/(3
2)
c:; ""'1 0... (<..>
2(.<;0 b..,~
NG'f..~, Ft.
O.ev~ fc.,,,,,,,,.....f C,,('p"'f'..f.o....
&vie f/o:uk ~ s:-h I/S-
3l(t~
ATrACH ADDITIONAL SHEETS AS MAY BE NECESSARY
tJ~ f~;f
Lobbyist Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me
this the 15 day of o(;./Ia / 9' 9 9' ,by //) ,LJ'1/ie /-I.A i' T T
who is personally known to e or who has produced . 1\/ nN€.
entification and who did take an oath.
on
.f.:i; MARLENE R. SALE
MY COMMISSION II CC 760924
~^ '" EXPIRES, 0Ml611OO2
.('or~
1.8oo.l.NOT"RY Fill. Notal')' servI_" &ond!n Co,
BY: 'f'rJ DA P.fAt.JJ -R l (1 2i
Be~~~y ~l.rk/Notary Public
Please Not.: 1) Pailure.to renew this registration by the renewal
date will result in the p~acemeDt of this registrant OD a-.status
unknown. list. 2) If one wishes to revoke this registration, a
.Lobbyist Withdrawal. form must be filed with the Clerk to the Board.