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2002/2003COLLIER COUNTY J4 ^ 3 35 0 3301 Tamiami Trail East Naples, Florida 34112 Gj fl BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME: Dominick Amico DATE: 11/21/02 BUSINESS ADDRESS: Agnoli- Barber & Brundage Inc 7400 Tamiami Trail N. Suite 200 Naples. Florida 34108 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Person or Entity would depend on eject ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY �1 1 (,tobbyis Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me and this the 21 day of November 2002, by Dominick Amico, who is personally known to me or wh&h&"redased s `' ` and who did take an oath. _ Public 111111111 ,��JpNNE4 fl/k .i, 'friS� ' q•. o , ogc0,77M1181 N11� �wF B� Z ••A 3 •. Please Note: 1) Failure to renew this registration b the ren 1 d f � ,.- & i.'�••.^0 y ewa ate o October I will result re the placement of this registration 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. 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: 3827355 NAME : DOMINICK AMICO PAYOR: DOMINICK AMICO REFNC: CTM DEPT: BOARD MINUTES AND RECORDS DESCRIPTION AMOUNT LOBBYIST ________ 25.00 TOTAL DUE: 25.00 Page 01 of 01