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2009/2010 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 11-/3056 ~4f q(;)()/o BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME STEVEN A. MARTIN. 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: 7) Person or Entitv would depend on proiect. ATTACH ADDITIONAL. SHEETS AS MAY BE NECESSARY -~.~ Lobbyist Signature----- STATE OF FLORIDA COUNTY OF COLLIER T~~ng registra~ sw~o~~:ribed before me on this the f7 day o (1: ) ~9 by ~. :rL, who IS personally known to meo'er- ~ . i'" a d who did take an oath. BY.:.- 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. Dwight E. Brock Clerk of the Circuit Court Receipt# 007027118 10/15/20098:29:59 AM CQ)VVDc~o@\J \]~?L@@@O[p~ Customer BARBER, BRUNDAGE, AMICO, CARR, TRYKA, HOWARD, MARTIN, AND MCLEAN AGNOLl, BRUNDAGE & BARBER 7400 TAMIAMI TRL N STE 200 NAPLES, FL 34108-2855 1 Product QUANTITY 1 Deputy Clerk BMR CASHIER MinutesandRecords@CollierClerk.com 239-252-2646 DESCRIPTION BMR Lobbyist Registration ~@O 0 D@[{~OG~[{[ko @@[fj])] Clerk Office Location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 UNIT COST $200.00 TOT AL AMOUNT DUE: Check# 12465 BALANCE DUE: AMOUNT $200.00 $200.00 ($200.00) $0.00 Page 1 of 1