2006/2007County 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: MARTHA
DEPUTY CLERK
RECEIPT:
4963761
NAME :
DANIEL W. BRUNDAGE
PAYOR:
DANIEL W. BRUNDAGE
REFNC:
MSV
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
9/07
DESCRIPTION AMOUNT
LOBBYIST 25.00
TOTAL DUE: 25.00
Page 01 of 01
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
0� -73/oo
9107
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
NAME DANIEL W. BRUNDAGE, P.E. DATE q- 14 -0 (.
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 protect
ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration
of September, 2006 by
or who has produced
was sworn to and subscribed before
as
this the
an
me
^w YVONNELOGDENutyClerk/Notary dyublic
=N Notary Public, State of Florida
"'xar...•' MYoCommxNio.DD24res 50242007
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.