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2023/2024 Collier County Clerk of Courts Expires ). 3299 Tamiami Trail E. (Clerk's office only) Suite 401,Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NameAmanda Martin, AICP DateJanuary 3, 2024 Business Name Johnson Engineering, Inc. Business Address 2122 Johnson Street City Fort Myers State FL Zip Code 33901 Business Telephone 239-461-2487 Contact Person Lobbyist E-mail amartin@johnsoneng.com 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, Ordinance 2007-24 and Ordinance 2013-39.Please make payment(s)to: Collier County Clerk of Courts & Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: Immokalee Water & Sewer District 1. Name 2. Name Address 1020 Sanitation Road Address Immokalee 34142 City/State Zip City/State mw Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida County of CollierV�- Lobbyist Signature This registration was sworn (or affirmed)and subscribed before me this day of 9 , 201,1 by 46�,r,d,,afa M n442,4f,, L/Personally Known BY: , +,t , Produced ID Deputy lerk/No a Public Type of ID Produced FAVIOLA LUNA Notary Public-State of Florida I ?:r%'_'", .c Commission# HH 408917 %' 1i1 � My Commission Expires Revised:08/2019 °'�,n,n``� June 11, 2027 Lobbyist: M Johnson Engineering Name: Amanda Martin E-Mail: amartin@johnsoneng.com Date Received Details 1/3/2024 New Registration - Exp. 09/2024 Receipt# 008808250 1/29/2024 2:19:10 PM ?AR�o�tiTF\ Crystal K. Kinzel Clerk of the Circuit Court and Comptroller cmc Customer Deputy Clerk Clerk Office Location A. MARTIN BMR CASHIER Collier County Govt. Center JOHNSON ENGINEERING MinutesandRecords@CollierClerk.co Building F, 4th Floor 2122 JOHNSON ST m 3299 Tamiami Trail East, Suite FORT MYERS, FL 33901-3408 239-252-2646 401 P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check#47339 ($25.00) 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. @0A[1LigTa®I1 W❑gg f�Lfl� Page 1 of 1