2006/2007
Dwight E. Brock
Clerk
BY: MARTHA
DEPUTY CLERK
RECEIPT: 4963761
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
ORIGINAL
OFFICIAL RECEIPT
When Validated
DESCRIPTION
6- 73/00
<f~7
V#: 3959516 09!22!200f
CHE K: 25"00
r.lC A~1T?A D~ 25" =~!J
AMOUNT
----------------------------- ----------
----------------------------- ----------
25.00
PAYOR:
DANIEL W. BRUNDAGE
LOBBYIST
NAME :
REFNC:
MSV
DANIEL W. BRUNDAGE
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
TOTAL DUE:
25.00
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
13-73/00
9/07
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME DANIEL W. BRUNDAGE, P.E.
DATE
q-ILf-()I",
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:
1) Person or Entitv would depend on project.
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on this the day
of September.2006 by Daniel W. Brundaqe G 0 is personally known to me:
or who has produced as identi and who did take an oath.
~~
/4QJ"'" YVONNE L OGDEN
l'i '" Notary Publio, State of Florida
,;~ "1 My comm. expires Aug. 26, 2007
,,/f.....~ Comm. No. 00245024
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.