2008/2009
Dwight E. Brock
Clerk
BY:
TERESA D
DEPUTY CLERK
RECEIPT: 5623083
PAYOR:
KRISTI BARTLETT
NAME :
REFNC:
TLD
KRISTI BARTLETT
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DESCRIPTION
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V#: 46DC342
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AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
LOBBYIST
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
TOTAL DUE:
25.00
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
o OlLtlOD
e~..ql&9
Expires
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
. .
Name \i..:r'<S'\\ Q::o-....~\ e....~
Date '2.. \2.~ \a~
Business Address ~ 0 ~.. ~a Y"'S" ~ s hO~ "by--.. s"\-E::.. \ 2R>
~~\e..c=;, t=L -;st...J t O'---{
Business Telephone 2li>3 -~C\'iS"~
E.Mail ~'<-\s\\ (? e..N~ \e..sFlor-iolo..<..cm
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1). Ec..o'r\C>~\ c::... l:>e..v<e-\.C'>91Y\e..h-\- C.~un.LI\ o~ CoLlle.1-- C..un"
'2:cl5 0 N .. DOr.:;- e.. -5\n 0"<-- "l.::>y-- S~ _ l-z.. 6
~r~\e...~ ( Fe '3Lf(OL{
2).
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
J~'~
Lobbyist Signature
State of Florida
County of Collier
The fo~stration wa~o anttribed before me on this OJ. '-f t-\
day of . by - , who is personally known to
me or has produced as identification and
who did take an oath.
B~~k
Deputy ClerkINotary Public
Tbe annual registration fee is $25.00 per Lobbyist, according to CoOler 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
Dwigbt E. Brock, Clerk of Courts <at tbe address listed at tbe top of tbe form).