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2003/2004 County of Collier CLERK OF THE CIRCUIT COURT BY: ANN J DEPUTY CLERK RECEIPT: 4058317 NAME : PAYOR: REFNC: JOHN M. PASSIDOMO JOHN PASSIDOMO APJ COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 ORIGINAL OFFICIAL RECEIPT When Validated DESCRIPTION y-fJrM.:) '1/.&/ ... .--', AMOUNT ----------------------------- ---------- ----------------------------- ---------- 25.00 LOBBYIST DEPT: BOARD MINUTES AND RECORDS TOTAL. DUE: Page 01 of 01 25.00 ~/bG\5() , COLLIER COUNTY 3301 Tamiami Trail East F-4 Naples, Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM NAME John M. Passidomo DATE September 25. 2003 BUSINESS ADDRESS 821 Fifth Avenue South Naples. Florida 34102 NAMES AND BUSINESS ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1) Various 2) A TT ACH ADDITIONAL SHEETS AS MAYBE ECES p~\ ~ Lobbyist Signature STATE OF FLORIDA COUNTY OF COLLIER The foregoing registration was sworn to and subscribed before me on this the 25'h day of _ September. 2003 , by John M. Passidomo who is personallv know to me or who has produced as identification and who did take an oath. ~,~ SANDRA K GUOWER ?i~A MY COMMISSION # 00 067918 1:!i.. .. i EXPIRES: January 30, 2006 ";,:r.Rf.,~' BoodedThnJNotaryPl.tlllcUndIlrwfllets BY:~~~~ D'pt.tJ Ckll-I Not Public Please Note: 1) Failure to renew this registration by the renewal date of October 1" will result in the placement ofthis 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:\wpdocs\RE\FORMS.RE\Lobbyist Re,gistratioll Form