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2009/2010 Board Minutes & Records 3301 Tarniarni Trail East Building F, 4th Floor Naples, FL 34112 Expires 9/2010 Date I) /;/0 cr c.r #d67 CGTT; )LC1- PLEASE ATlACU ADDITIONAL SHEETS IF N~~ V -' Lobbyist Signature State of Florida County of Collier The fore oing registration was sworn to and subscribed before me on this day of her ZIO't ,by ,who is personally known to me or has produced R- "PL. as identification and who did take an oath. /~ .~'.. BY: Deputy CJerk/Notary Pu r 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# 007036724 12/1/20099:45:14 AM Dwight E. Brock Clerk of the Circuit Court @aaDC~D([)D ~@@@D[}DQ Customer ROGER B. RICE ROGER B. RICE 9010 STRADA STELL CT STE 207 NAPLES, FL 34109-4427 Deputy Clerk BMR CASHIER M inutesand 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 Re9istration UNIT COST $25.00 TOTAL AMOUNT DUE: Cash Tendered: BALANCE DUE: AMOUNT $25.00 $25.00 ($25.00) $0.00 (Q;@(}(}D @rr(Q; [k~rrfJ:ro ([;@WlJ Page 1 of 1