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2010/2011 Clerk of the Board, Minutes & Records Dept. 3299 Tamiami Trail East, Suite #401 Building F, 4th Floor Naples, Florida 34112 Expires: BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME Denis J. Roza. PE DATE April 1 L 2011 BUSINESS ADDRESS 5571 Halifax Avenue. Fort Myers. Florida. 33912 Business Telephone 239-482-8008 E-Mail droza7@netscape.net NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Alico Land Development. Inc.. P. O. Box 338. Labelle. Florida. 33975 2) A IT ACH ADDITIONAL SHEETS AS MAY BE NECESSARY r ~ Signature STATE OF FLORIDA COUNTY OF COLLIER Q):'" DEBORAH L ~.APP.BEASLEY ~.; ~*~ M'l' COMMISSION # 00984266 " EXPIRES July 30,2014 ";7;'~153 FlOl1daNolarYService.com e uty C r Pub . Beb.r. Kapp-Ieas IJ 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). . subscribed before me on this the l \ ~ day of who is personally known to .._--... as identification and who did take an ~ \ . The foregoing registration was swo A~~\\ , 20~, by me who has produced oath. DENIS J. ROZA & ASSOC., INC. CONSULT ANTS AND CONSTRUCTION MANAGERS 5571 HAUFAX AVENUE FORT MYERS, FLORIDA, 33912 CG - C021691 TEL. 239-482-8008 FAX 239-454-2773 April 11, 2011 Via: Collier County Board of County Commissioners Minutes and Records Department 3299 Tamiami Trail East, Suite #401 Naples, Florida 34112 Re: Collier County Lobbyist Registrations Dear Sir/Madam: Enclosed is my firm's check in the amount of $25.00 for the fee to cover my business and address represented before the Board of County Commissioners as of this date. Thank you for your assistance. Enc. 597025.000000.0784 Receipt# 007154615 4/21/2011 1 :53:55 PM Dwight E. Brock Clerk of the Circuit Court @vVD@H~1U ~C~Cc3@U[}DQ Customer DENIS J. ROZA, P.E. DENIS J. ROZA & ASSOCIATES, INC. 5571 HALIFAX AVE FORT MYERS, FL 33912- 4403 Deputy Clerk BMR CASHIER M inutesand Records@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3299 Tamiami Trail East, Suite 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $25.00 TOTAL AMOUNT DUE: Check# 2021 BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 ~@O 0 O@[f~O@[ff1fo ~@[J[f[J Page 1 of 1