2009/2010
BOARD OF COUNTY COMMISSIONERS
lOBBYIST REGISTRATION FORM
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COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
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NAME DOMINICK J. AMICO JR.. P.E.
DATE OCTOBER 7. 2009
BUSINESS ADDRESS: AGNOLl. BARBER & BRUNDAGE. INC.
7400 TAMIAMI TRAIL N.. SUITE 200
NAPLES. FL 34108
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
4) Person or Entitv would depend on proiect.
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
~/~
Lobbyist ~ignature
STATE OF FLORIDA
COUNTY OF COLLIER
T~~ng registratio
o~ / . .2d2)9 by
w
ubscribed before me on this the ~ day
I who is personally known to me.Of-
IC a who did take an oath.
Please Note: 1) Failure to renew this registration by the renewal date of October 1st 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.
Dwight E. Brock
Clerk of the Circuit Court
Receipt# 007027118
10/15/20098:29:59 AM
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Customer
BARBER, BRUNDAGE,
AMICO, CARR, TRYKA,
HOWARD, MARTIN, AND
MCLEAN
AGNOLl, BRUNDAGE &
BARBER
7400 TAMIAMI TRL N STE
200
NAPLES, FL 34108-2855
1 Product
QUANTITY
1
Deputy Clerk
BMR CASHIER
MinutesandRecords@CollierClerk.com
239-252-2646
DESCRIPTION
BMR Lobbyist Registration
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Clerk Office Location
Collier County Govt. Center
Building F ,4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
UNIT COST
$200.00
TOTAL AMOUNT DUE:
Check# 12465
BALANCE DUE:
AMOUNT
$200.00
$200.00
($200.00)
$0.00
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