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2009/2010 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 b- \5S00 ~~ "I~(1.(j to , .. r 0 ~--q""r~ , rn (J .- I ~~.~ ~ l -",I " BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM c' W - , c;. J:D' C' -r c: -.::10. :"l CS --, -.::1 Ul r ,,-") N :~c,'~ -.--, -'~'f .~< '- NAME FREDERICK T. BARBER III. P.E. 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: 2) Person or Entitv would depend on proiect. ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY ~~ Jt 6 ~'([ Lobbyist Signature STATE OF FLORIDA COUNTY OF COLLIER T~ing registr,~ ~~~ed before me on this the '7 day o 1... I ~9 b ff~ ' who IS personally known to me..6f- . . . . a e an oath. 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 (9)vVD@~([lD ~@@Cg;)~~G 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 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 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 ~ @U U D@[f~ U@[f[f:fo ({5@[J)f[J Page 1 of 1