2010/2011
Board Minutes & Records
3301 Tamiami Trail East
Building F, 4th Floor
Naples, FL 34112
Expires: 2011-09-30
BOARD OF COUNTY COMMISSIONERS
LOBBYIST REGISTRATION FORM
Name: Todd R. Rebol, P.E.
Date: 2010-10-01
Business Address:
Banks Engineering
12653 SW CR 769. Suite B
Lake Suzv. Fiorida 34269
Business Telephone:
+1 (941) 625-1165
Email: trebol@bankseng.com
NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED:
1. Collier Countv Community Redevelopment Agency. 3301 Tamiami Trail East. Naples. Florida 34112
2. Bayshore Gateway Triangle Communitv Redevelopment Agency. 4069 Bayshore Drive. Naples. Florida
34112
3. The Pizzuti Companies. Two Miranova Place. Suite 800. Columbus. Ohio 43215
PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY
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Lob st Signature
State of Florida
County of Collier
The foregoing registration was sworn to and subscribed before me on this 1st
, by Todd R. Rebol, P.E.
day of October, 2010
, who is personally known to me
or has produced N/ A
as identification and who did take
m~"'I~III1"" HEATHER l. POLITO
l ~to!! ~ Notary Public. State of Florida
~. .5 My Commission Expires Jan 8. 2012
~ ~i Commission II 00 146989
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By:cJJi/~r/, ~
an oath.
Deputy Clerk/Notary Public
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The annual registration fee is $25.00 per Lobbyist, according to Collier county Ordinance No.
2003-53,as amended by Ordinance 2004-05 and Ordinance 2007-24. Please make payment 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).
Receipt# 007112626
10/13/20102:31 :15 PM
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Dwight E. Brock
Clerk of the Circuit Court
Customer
BANKS ENGINEERING
10511 101 SIX MILE
CYPRESS PKWY
FORT MYERS, FL 33966
Deputy Clerk
BMR CASHIER
Minutesand Records@CollierClerk.com
239-252-2646
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Clerk Office Location
Collier County Govt. Center
Building F, 4th Floor
3301 Tamiami Trail East
P.O. Box 413044
Naples, Florida 34101-3044
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1 Product
QUANTITY
4
DESCRIPTION
BMR Lobbyist Registration
UNIT COST
$25.00
TOTAL AMOUNT DUE:
Check# 15859
BALANCE DUE:
AMOUNT
$100.00
$100.00
($100.00)
$0.00
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