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2004/2005County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 ORIGINAL OFFICIAL RECEIPT When Validated BY: LINDA HO DEPUTY CLERK RECEIPT: 4349676 NAME : JAMES A CARR PAYOR: JAMES A. CARR REFNC: LAH DEPT: BOARD MINUTES AND RECORDS C-O`t5oo 4105 V#: 3358732 CHECK: MC AMT PAID: 10/01/2004 25.00 25.00 DESCRIPTION AMOUNT LOBBYIST=====----------------=----25 00 TOTAL - DUE: 25.00 Page 01 of 01 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name James A. Carr, P.E.. DATE September 27, 2004 BUSINESS ADDRESS Agnoli, Barber & Brundage, Inc. 7400 Tamiami Trail North, Suite 200 Naples, FL 34108 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Person or entity would depend on project. 2) ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sWAn to and September, 2004 b known to me or who t,..s prnd did take an oath. YVONNE L. OGDEN Notary Public, State of Florida ' My comm. expires Aug. 26, 2007 Comm. No. DD245024 obbyist Signature before me on this the 27 day of who is personally BY: Deputy Clerk/NotTry Public who Please Note: 1) Failure to renew this registration by the renewal date of October I" 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.