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2002/20030 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 BY: CARYL M DEPUTY CLERK RECEIPT: 3827366 NAME : DANIEL W. BRUNDAGE PAYOR: DANIEL W. BRUNDAGE REFNC: CTM DEPT: BOARD MINUTES AND RECORDS DESCRIPTION pgOUNT ------------------------------------- ----------------------- 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 DATE: 11/21/02 BUSINESS ADDRESS: Agnoli, Barber & Brundage. Inc. 7400 Tamiami Trail N., Suite 200 Naples, Florida 34108 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: Person or Entity would depend on project. ATTACH ADDITIONAL SHEETS STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me and this the 21 day of November 2002, by Daniel W. Brundage, who is personally known to me or who has produced as :dpnt:r.,.p. ie. and who did take an oath.- — 1J O� Deptity�o&y PU c yCo '�'• to :• N0 Cc ds ?oplio, : Z Please Note: 1) Failure to renew this registration by the renewal date of October 1f ei the placement of this registration on a "status unknown" list. 2) If one wishes to ram' �q,,.✓ �; registration, a "Lobbyist Withdrawal' form must be filed with the Clerk to the Board..''r3,j,�hoB��P```�� Registration Fee is $25.00 per Lobbyist according to Ordinance 99-22.