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2021/2022 Expires Collier County Clerk of Courts 3299 Tamiami Trail E. (Clerk' office only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Kellie Fissinger Date Business Name Agnoli, Barber & Brundage, Inc . Business Address 7400 Trail Boulevard, # 200 City Naples State FL Zip Code 34110 Business Telephone 2 3 9-5 9 7-3111 Contact Person Kellie Fissinger Lobbyist E-mail fissinger@abbinc . corn Notice for Lobbyists: The annual registration fee is $25.00 per Lobbyist, per Collier County Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Crystal K. Kinzel, Clerk of f Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Please see attached list . 2. Name Address Address City Zip Code City Zip Code 3. Name 4. Name Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of Collier Lobbyist Signature This registration was sworn (or affirmed) and subscribed before me this Z1 day of, Se fe-e.K,�e/, 20 -it , by 1t (l `f 1-?ss;vtsS..e/ Personally Known BY: �/�`�� , Gt - � Produced ID 4- , . ' -- Type of ID Produced ,. Notary Public State or Florida Stephanie A Keeney My Commission GG 304098 d Expires 02/20/2023 °�" Revised:08/2018 D DIDIIDII D D`' DE>r °D D D D DID DED D D D D D D >1DIo � W W' W`N N '-' x ojn =m 0 v � co a Cl. 3 c m ncr CT CT a Ell Ell g D < Flo n • N 000 41 T o p 3 n 3 T o Cu3 m - ` ' iTc Cu3 • E w t a m po z cNn'rvn 3 m r _ (D r �. n C1 `* C ��' rn-r,. r_r, L? rl O n r (rj!C<D r"r n in ' to o = _ _ n 3 n < S cri 777 1 1 �- 1-, - Ui r 0 r p N r y r >,Ul r ? � '.0 3 r n.r. i w �'r to N - D— r Q O l0 W = L0 Ui Q O r_ r C1', W W 0 a U9 r u'i r n, l0 Ni Ul. O V O CD Ul U1- W O CO, V. r r� al DJ 0 •A V r 7- L.C. 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CD] = n 7 cu V > / \ / e g a co Cl) - » / - \ r > - \ \ a / 0 2 ® \ _ CO0 t m ) = R Q 7 0 C b \ CDk ƒ ¥ « flL \ a 0 3 / | 3 2 2 E f % G - a k c A ) \ \ \ CO _ m n 71 r I- I- r r w w w w w U) a U) 2 G R \ NJ• NJ � Receipt# 008457834 10/1/2021 2:55:02 PM 6.„ER coG Crystal K. Kinzel Clerk of the Circuit Court and Comptroller c;,1 of J`�osOrecLcg— Customer Deputy Clerk Clerk Office Location D AMICO, J CARR, E TRYKA, Martha S. Vergara Collier County Govt. Center T BARBER, D BERNAL, K martha.vergara©collierclerk.com Building F, 4th Floor KISSINGER, B GUILLOT, S 239-252-2646 3299 Tamiami Trail East, Suite KEENEY, D RAKICH & J 401 MCCONNE P.O. Box 413044 AGNOLI, BARBER & Naples, Florida 34101-3044 BRUNDAGE, INC. 7400 TRAIL BLVD STE 200 NAPLES, FL 34108-2855 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 10 BMR Lobbyist Registration $25.00 $250.00 TOTAL AMOUNT DUE $250.00 Check#23019 ($250.00) BALANCE DUE $0.00 Note: Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. VOHO®T@U® ❑ggpila Page 1 of 1