2008/2009County 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:
5538665
NAME :
DOMINICK AMIGO
PAYOR:
DOMINICK AMICO
REFNC:
APJ
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
+q 3 35€o
EXIT • glcq
='U
DESCRIPTION AMOUNT'
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LOBBYIST 25.00
TOTAL DUE: 2S.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 1, 2008
BUSINESS ADDRESS : AGNOLI, 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 Entity would depend on project.
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
A1-7�h
Lobby' t Signatodre
STATE OF FLORIDA
COUNTY OF COLLIER
The e oing registratio as savor subscr' d before me on this the _ day
o � b� �S, who is personally known to me,or
wh �prnduced +tis^` {r ^�i who did take an oath.
Y
Please Note: 1) Failure to renew this registration by the renewal date of October 15t 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.