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2008/2009County 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 BY: ANN J DEPUTY CLERK RECEIPT: 5538664 NAME : DANIEL BRUNDAGE PAYOR: DANIEL W. BRUNDAGE REFNC: APJ ORIGINAL OFFICIAL RECEIPT When Validated DEPT: BOARD MINUTES AND RECORDS DESCRIPTION AMOUNT 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 DANIEL W. BRUNDAGE, 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 i fe ing registratio s sw subscribed before me on this the r; day by who is personally known to mq or d who did take an oath. Please Note: 1) Failure to renew this registration by the renewal date of October 15I 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.