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2008/2009 County 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 ORIGINAL OFFICIAL RECEIPT When Validated BY: TERESA D DEPUTY CLERK RECEIPT: 5598830 DESCRIPTION ----------------------------- ---------- ----------------------------- ---------- 25.00 NAME : LAURA SPURGEON DEJOHN LAURA SPURGEON DEJOHN TLD LOBBYIST PAYOR: REFNC: DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 -S -:+S 100 'e-~,cr/~ ',1#: 4576985 0, 109"""109 11 I L.U CHECfi: jD AMT PAID: "C" 00 LJ. ~ "5 "n i.. . u_ AMOUNT TOTAL DUE: 25.00 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 'S1-5 I CO Expires: ~. or I O~ BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM ~Wut'\,V\) J~~ bl911'\QU\6 Date: Business Address: '2 '.:>'SO ~~~.d__ C+-. Wo..pW) fL ?;,'iI/2- I - <c - Og Name: Business Telephone: '1... C),\- '1 j '-f - 0") -'"3 Email: J~j:j~ G! I~ ~ev,~ NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY LOb~ref)e1~ State of Florida County of Collier . . ~, , , ',. t ';':i '.~....' , who is perso~W"k~own toMe , . / ......;. . -. ~ ~ " 0 .. . ~~, Deputy CI~/N~r\l.pUbIiC ".:- / ~ ,.' ct.. ."~' ........ ..."..... , The annual registration fee is $25.00 per Lobbyist, according to Collier county Cr.<<Iinance No. " 2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make'l'ay.ti1iWnt and mail to:Collier County Clerk of Courts or Dwight E. Brock, clerk of Courts (at the address listed at the top of the form). The foregoing registration was sworn to and subscribed before me on this d,,,, ~'OS'bY or has pro ed ~ UU-fC D.aj~ an oath.