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2005/2006 County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAM lAM I TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 Dwight E. Brock Clerk ORIGINAL OFFICIAL RECEIPT When Validated BY: HEIDI R DEPUTY CLERK RECEIPT: 4656221 DESCRIPTION ============================= 25.00 NAME : PAYOR: WILLIAM J. DEMPSEY WILLIAM J. DEMPSEY LOBBYIST REFNC: HRR DEPT: BOARD MINUTES AND RECORDS Page 01 of 01 D - 03XfJ qlO~ VI: 3658132 OQ/?/-./?nnc:- I I _"_"' ...Uw_ CHECK: MC AMT PAID: .....C" ~.,~, I._i. UU -::\!::; '10 _..Ia..l AMOUNT ---------- ---------- TOTAL DUE: 25.00 u- 05000 COLLIER COUNTY 3301 Tamiami Trail East F-4 Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME William J. Dempsey DATE September 6.2005 BUSINESS ADDRESS Cheffv Passidomo Wilson & Johnson. LLP 821 Fifth Avenue South Naples. Florida 34102 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Various 2) ATTACH ADDITIONAL SHEETS AS MAY B NE Lobbyist Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me on this the S tli day of September. 2005 , by William J. Dempsey who is personally know to me or who has produced as identification and who did take an oath. ~_~~fit-. MAACENE G. MAC NEill ~.i "A-";.~ MY COMMISSION 1/ DO 321826 ~if.-~~~f EXPIRES; June 20,2008 "~r. .lil.o- Bonded Thnl Nolary Pubic Uncltrwril... By: \t\. ~ n h. \N\p,.c~4 Deputy Clerk / Notary Public Please Note: 1) Failure to renew this registration by the renewal date of October 1st 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 F: IwpdocsIREIFORMS.RElLobbyisl Registration Fonn-05. wpd