2004/2005
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: LINDA HO
DEPUTY CLERK
RECEIPT: 4349666
DESCRIPTION
=============================
NAME:
DANIEL W. BRUNDAGE
LOBBYIST
PAYOR:
DANIEL W. BRUNDAGE
REFNC:
LAH
DEPT: BOARD MINUTES AND RECORDS
Page 01 of 01
.B.'1:,/on
Q/05
Vi: 3358727
CHECK:
Me AMT PAlO:
TOTAL DUE:
1010112004
25.00
25.00
AMOUNT
----------
----------
25.00
25.00
.
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
f!>~1~JOO
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name
Daniel W. Brundage. P.E.
DATE Seotember 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:
I) Person or entitv would deoend on oroiect.
2)
ATTACH ADDITIONAL SHEETS A
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration wa~ tp ~S~d before me on this the 27 day of
Seotember.2004 , by e,/i. ~ 'f.... ../~o , who is personally
known to me or mho ~ec1 as identifir"t(Qn and who
did take an oath.
'~ri)' YVONNE L. OGOEN
(.'t ,. Notary Public, State of Florida
\'j. ! My comm. expires Aug. 26, 2007
~ ... Comm. No. 00245024
Please Nole: I) Failure to renew this registralion by the renewal dale ofOclober I" will result in Ihe placement of
ibis registranl on a "slalus unknown" list. 2) If one wishes to revoke ibis registration, a "Lobbyist Withdrawal" form
musl be filed with Ihe clerk to ibe Board. 3) annual Registralion Fee is $25.00 per Lobbyist according 10 Ordinance
99.22.
v