2007/2008County 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: TERESA D
DEPUTY CLERK
RECEIPT: 5280118
NAME : DANIEL BRUNDAGE
PAYOR: DANIEL W. BRUNDAGE
REFNC: TLD
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
Vc 4268518 10/02/2007
CHECK: 25.00
CT AMT PAID: 25.00
DESCRIPTION AMOUNT
LOBBYIST25 00
TOTAL DUE: 25.00
Page 01 of 01
'�3_-73( 60
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME DANIEL W. BRUNDAGE, P.E. DATE SEPT. 27,2007
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
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration
of September, 2007 by,
-------------
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before me on this the c,�77_ day
who is personally known to me er-
ifn and who did take an oath.
'Deputy Clerk/NotaryPublic
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.