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2009/2010 BOARD OF COUNTY COMMISSIONERS lOBBYIST REGISTRATION FORM G - betS OC;).../, ~ ~~p '1 ?!!tV v ,....",,) t~J CD = r -<I 2,." ~ ;-1..,_, , . C-) ,r..' , r'- -{ C;;:::' i ~, C::'., i ;:: w c \ I o C"') C) c, ('~ :~ - -1 ):>0 3': ~-:: ~~- : COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 --.{ 5 I, ~ , . r ~-.- c.n .>:"" I'" NAME JAMES A CARR. P.E. .~~.- 'j'h,. 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: 5) Person or Entitv would depend on proiect. ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY ~ Signature STATE OF FLORI DA COUNTY OF COLLIER T~~ing registrat.' o I ..' ~7 bY' ubscribed before me on this the -7 day , who is personally known to me...6f- d who did take an oath. ~""It", 1.7>~' ...~ YVONNE L. OGDEN _ . . i ..., NIle . .... of FIoltIII : "'Cl. nl'U1"'..,2Ot1 C.JllIllIlllll . DO .1IOM 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# 007027118 10/15/20098:29:59 AM Dwight E. Brock Clerk of the Circuit Court @UUD@n~JD l2c~c~C~D~ts Customer BARBER, BRUNDAGE, AMICO, CARR, TRYKA, HOWARD, MARTIN, AND MCLEAN AGNOLl, BRUNDAGE & BARBER 7400 TAMIAMI TRL N STE 200 NAPLES, FL 34108-2855 Deputy Clerk BMR CASHIER Minutesand 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 1 DESCRIPTION BMR Lobbyist Registration UNIT COST $200.00 TOTAL AMOUNT DUE: Check# 12465 BALANCE DUE: AMOUNT $200.00 $200.00 ($200.00) $0.00 ~@O 0 o@rr~O@rrfA~o (f;@[![JtJ Page 1 of 1