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2002/2003 County 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: CARYL M DEPUTY CLERK RECEIPT: 3827366 DESCRIPTION ============================= ========== 25.00 NAME: DANIEL W. BRUNDAGE LOBBYIST PAYOR: DANIEL W. BRUNDAGE REFNC: CTM DEPT: BOARD MINUTES AND RECORDS TOTAL DUE: Page 01 of 01 AMOUNT 25.00 ~ 13 - '75850 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRA nON FORM NAME: Daniel W. Brundage DATE: 11/21/02 BUSINESS ADDRESS: Agnoli. Barber & Brundage, Inc. 7400 Tamiami Trail N., Suite 200 Navies. Florida 34108 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Person or Entitv would depend on proiect. A TT ACH ADDITIONAL SHEETS AS M STATE OF FLORIDA COUNTY OF COLLIER \\\\UII Itl"" ",,\~ 0 N N I: l. III,~ .... ~ "I.'-'t . 0 ~ ~ .. NUr.,.. ~ .... ..Q~ . ry )..- 0 ~ oaryPu c.f> A Co"" -oft': - . 'l(fQj '11/ ~ . _ = . M fl81<.',.f'tl:, .z = :(J)~ ~cc ;';q;.l'r.,,: = Please Note: I) Failure to renew this registration by the renewal date of October ~1~!ls~Jgi1... i the placement of this registration on a "status unknown" list. 2) If one wishes to r~'3i.y...." ,/ registration, a "Lobbyist Withdrawal" form must be filed with the Clerk to the Board~"":~~"~""" R. . F . $2 00 Lobb' d" "',,11I,/1 eglstratJon ee IS 5. per Ylst accor mg to Ordmance 99-22. The foregoing registration was sworn to and subscribed before me and this the 21 day of November 2002, by Daniel W. Brundage, who is personally known to me or who has llretkieed as iEielltifie!ltion and who did take an oath. / , BY: