2005/2006County 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: 4660379
NAME : DANIEL BRUNDAGE
PAYOR: DANIEL W. BRUNDAGE
REFNC: APJ
ORIGINAL
OFFICIAL RECEIPT
When Validated
DEPT: BOARD MINUTES AND RECORDS
�e)3100
oxp-g4o
iffy SPAT IA ina 1C
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 COMMISSIONE
LOBBYIST REGISTRATION FORM
NAME: Daniel W. Brundage, P.E. DATE September 27, 2005
BUSINESS ADDRESS Name of Business: Agnoli, Barber & Brundaae
7400 N. Tamiami Trail, 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 MA
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing registration was sworn to and subscribed before me on this
the 27 day of, September. 2005 by Drw1EL hi.BRutiDA&
who is personally known to me r who has produced
as identification and who did take an oath.
NOTARY PUBLIC -STATE OF FLORIDA
June Miller Lehmann BY: ` v
CommiWon # DD451197 Deputy Clerk/Notary Public
Fapim: APR. 24, 2006
Bonded Thtu Atlantic eondint Co., Inc.
Please Note. 1) Failure to renew this registration by the renewal date of October Vt
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