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2013/2014 Collier County Clerk of Courts Expires q/20/ti 3299 Tamiami Trail E. (Clerk' ice only) Suite 401, Bldg. F, 4th Floor Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Laura DeJohn Date August 12, 2013 Business Name Johnson Engineering, Inc. Business Address 2350 Stanford Court City Naples State FL Zip Code 34112 Business Telephone (239)434-0333 Contact Person Laura DeJohn Lobbyist E-mail ldejohn(2 johnsoneng.com Notice for Lobbyists: The annual registration fee is $25.00 Der Lobbyist, per Collier County Ordinance No. 2003-53, and amended by Ordinance 2004-05 and Ordinance 2007-24. Payments made out to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts (ADDRESS LISTED ABOVE) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name T.B.D. 2. Name Address Address City Zip Code City Zip Code 3. Name 4. Name Address Address City Zip Code City Zip Code (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of Florida / County of Collier IA 1 4 ob•yist Signature This registration was sworn (or affirmed) and subscribed before me this /a day of, /hc.G-Gc ST , 201,3 ,by L DE J HA) VPersonally Known BY: # Produced ID — ` ` ` — ` ` ` —` — De f ty Cler! otary P colic ,,, JENNIFER LYN CHAPMAN Type of ID Produced i 1:` "VA Notary Public-State of Florida �•t� c AAy Comm.Expires Sep 14,2014 4.41V Commission I El 15176 Revised:08/2011 ,, `.: ,,, Bonded Through National Notary Assn. 0 Jo abed ng©D cEl ° geLle4,111110© •papaau se sa6aeyo punjaa JO ssasse o�pue saoaaa leolaap aol palm on 1g6u ay}sanaasaa>{aala ayl•uopoWuan/Malnea pafgns aae suopesueaq ipe:Jewiepsla :aioN 00'0$ 3fla 33NV1V8 (00•9Z$) 909ZZ Plow-10 00'SZ$ 3fla 1NflOm 1V1O1 00.9Z$ 00.9Z$ uolle4si6aH Isp(ggoi uW8 1NflOLNY 1S03lINfl NOIldI J3S3a AIIINVflO pnpoad 6 vt0£-I.O1,17£ ep!aold `saldeN t7t70£t f7 X08 •O'd £1.8t-Z1.1.17£ 1 I `S31dVN 1.017 9179Z-Z9Z-6£Z 10 aNOdNd1S 09EZ al! S `lseA Beal ivaeluae166ZE ua '0NI aoold `d 6ulplln8 oo•){aalOaa!11o0@@spaooa�lpuesalnullN `0NN88NION3 NOSNHOI' Ja}ua0 •}noO Aluno0 Ja!Ilo3 2:18IHSV0 2JW8 NHOf 3a b'�Ifl`d1 uol}eool eol}}O )1a910 Paa10 /(Indaa aauao;snO Nar O _ O O,,T `¢ 1 lano0 paa1O a41 Jo )halo )J0OJ8 '3 1y6IM4 vIv £O:LZ:8 £60Z/OZ/8 81.l69£L00 #;dlaoati