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2008/2009Dwight E. Brock Clerk BY: ANN J DEPUTY CLERK RECEIPT: 5538671 NAME : STEVEN MARTIN PAYOR: STEVEN MARTIN REFNC: APJ 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 DEPT: BOARD MINUTES AND RECORDS VY1 (3OSD EX-P. I161 DESCRIPTION AMOK LOBBYIST=====---------------------25 00 TOTAL DUE: 25.00 Page 01 of 01 COLLIER COUNTY 3301 Tamiami Trail East Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME STEVEN A. MARTIN, P.E. DATE SEPTEMBER 1, 2008 BUSINESS ADDRESS : AGNOLI 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 Entity would depend on project ATTACH ADDITIONAL SHEETS AS MAY BE NECESSARY STATE OF FLORIDA COUNTY OF COLLIER reg rvoW* 4 OOM hw - VAI of Iww C=Mb . a a Lobbyist Signature beforeme on this the q day -sonally known to me. or - who did take an oath. who Please Note: 1) Failure to renew this registration by the renewal date of October 1st 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.