2011/2012
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Clerk of the Board, Minutes & Records Dept.
3299 Tamiami Trail East, Suite #401
Building F, 4th Floor
Naples, Florida 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
2011-2012
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DATE 9/1v/;1
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NAME
BUSINESS ADDRESS jo,atJ ~441 ss ~/z'j>t7M 7C
F/oJt!.(~ g$ 32.3'
E-Mail bl//.le.Ai#()(i!.. j / hOAleJ .c..>AA.....
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
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1) By: ~,e.laA~))S c,EAJP.I'I-J!.. ~~"PM7'D,,0/ C;~t... ?~"-/4A-
2)
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
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STATE OF FLORIDA
COUNTY OF COLLIER
egis ation was sworn to and subscribed
, 20LL by $1I( ~IJN()
BY:
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 mail to: Collier County Clerk of Courts or
Dwight E. Brock, Clerk of Courts (at the address listed at the top of the form).
Receipt# 007190126
9/29/2011 9:00:46 AM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
BILL FENNO
GL HOMES, PARKLANDS
ASSOCIATES I, LLLP
1600 SAWGRASS
CORPORATE PKWY STE 400
SUNRISE, FL 33323-2890
DeDutv Clerk
BMR CASHIER
MinutesandRecords@CollierClerk.co
m
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 DESCRIPTION
1 BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE
Check# 0234
BALANCE DUE
AMOUNT
$25.00
$25.00
($25.00)
$0.00
Note:
Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to
assess or refund charges as needed.
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