2010/2011
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
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BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME Dominick J. Amico. Jr.. P.E.
DATE OCTOBER 1. 2010
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:
3) Person or Entitv would depend on proiect.
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
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LobbyisC-S ignatu re I'
STATE OF FLORIDA
COUNTY OF COLLIER
'bed before me on this the 80 day
I who is personally known to me.er--
d who did take an oath,
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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.
Receipt# 007111334
10/7/20103:26:48 PM
Dwight E. Brock
Clerk of the Circuit Court
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Customer
FREDERICK T. BARBER,
DANIEL W. BRUNDAGE,
DOMINICK J, AMICO, JAMES
A. CARR, EDWARD G. TRYKA,
STEVEN A
AGNOLl, BARBER &
BRUNDAGE, INC.
7400 TAMIAMI TRL N STE
200
NAPLES, FL 34103-3712
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
7
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25,00
TOTAL AMOUNT DUE:
Check# 13373
BALANCE DUE:
AMOUNT
$175.00
$175.00
($175,00)
$0.00
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