2005/2006
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3301 TAMIAMI TRAIL EAST
P.O. BOX 413044
NAPLES, FLORIDA 34101-3044
Dwight E. Brock
Clerk
ORIGINAL
OFFICIAL RECEIPT
When Validated
BY: ANN J
DEPUTY CLERK
RECEIPT: 4660379
DESCRIPTION
----------------------------- ----------
----------------------------- ----------
25.00
NAME :
PAYOR:
DANIEL BRUNDAGE
DANIEL W. BRUNDAGE
APJ
LOBBYIST
REFNC:
DEPT: BOARD MINUTES AND RECORDS
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i~1C Ai~T PAID:
TOTAL DUE:
Page 01 of 01
B1310a
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09/29/20:::
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AMOUNT
25.00
COLLIER COUNTY
3301 Tamiami Trail East
Naples, Florida 34112
BOARD OF COUNTY COMMISSIONERS
lOBBYIST REGISTRATION FORM
NAME:
Daniel W. Brundaqe. P,E.
DATE September 27.2005
BUSINESS ADDRESS Name of Business: Aqnoli. Barber & Brundaqe
7400 N, Tamiami Trail. Suite 200
Naples. FL 34108
NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY
REPRESENTED:
I) Person or Entitv would depend on project.
ATTACH ADDITIONAL SHEETS AS MA
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on this
the 27 day of, Seotember. 2005 by DMlIEL uJ.BRm.JbA'-E.
~o is personally known to fii?;or who has produced
as identification and who did take an oath.
NOTARY PUBUC.STATE OF FLORIDA
_June Miller Lehmann
Commission # DD451197
ExpIres: APR. 24. 2006
.ond.d TIlnl AlIIIIlI. BOIIcIlnl co., Jnc,
BY: ~ 7f1J.AA?f A4f.4U
Deputy Clerk/Notary Public
Please Note. 1) Failure to renew this registration by the renewal date of October 1 't
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