2005/2006County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
BY: ANN J
DEPUTY CLERK
RECEIPT:
4660378
NAME :
DOMINICK AMICO
PAYOR:
DOMINICK AMICO
REFNC:
APJ
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
0-33SDO
Eq. aI()�0
DESCRIPTION AMOUNT
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LOBBYIST 25.00
TOTAL DUE: 25.00
Page 01 of 01
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME: Dominick J. Amico, Jr., P.E. DATE September 27, 2005
BUSINESS ADDRESS Name of Business: Agnoli Barber & Brundage
7400 N. Tamiami Trail Suite 200
Na0es FL 34108
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY
REPRESENTED:
1) Person or Entity would depend on project
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
Lobbyist Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on this
the 27 day of, September. 2005 by PpIMAIteK sidd "le Fig
o is personally known to m or who has produced
as identification and who did take an oath.
NOTARY PUBLIC -STATE OF FLORIDA BY:
Wjune Miller Lehmann Deputy Clerk/Notary Public
CommLssioe # DD451197 P Y rY
Expires: APR. 24, 2006
Bonded Thru Adendc Bond(n; Ce., Inc.
Please Note. 1) Failure to renew this registration by the renewal date of October Vt
will result in the placement of this registrant on 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. 3) Annual Registration Fee is $25.00 per Lobbyist according
to Ordinance 99-22