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2007/2008 Dwight E. Brock Clerk BY: TERESA D DEPUTY CLERK RECEIPT: 5280118 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 D~f~llJO -e Kit q ICB VI: 4268518 ClECK: CT AI'IT PAlO: NAME : DANIEL BRUNDAGE LOBBYIST DESCRIPTION 10/0V2007 25.00 25.00 AMOUNT ----------------------------- ---------- ----------------------------- ---------- REFNC: TLD DANIEL W. BRUNDAGE PAYOR: DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 TOTAL DUE: 25.00 25.00 13 - I ?J LbD COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME DANIEL W. BRUNDAGE. P.E. DATE SEPT. 27.2007 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: 1) Person or Entitv would depend on proiect. ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration of September. 2007 by ~odur.p.rL ---- bscri ed before me on this the 077 day , who is personally known to me er- nt' and who did take an oath. i / //) '. c'_ .L/( r'> ~A.,::7::Cd4.;-- . . ~"<?;'"-("' _/1:leputy Clerk/Nota'- ublic - /. ,/ . w.-L._ . ..... ..... . .... .,..... _(I .. ~ ..... (' ',' ..... Please Note: 1) Failure to renew this registration by the renewal date of October 151 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.