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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: Stacy Ellis Hewitt Date: 2010-10-01 Business Address: Banks Engineerinq 10511 Six Mile Cyoress Parkway Fort Myers. Florida 33966 Business Telephone: +1 (239) 939-5490 Email: shewitt@bankseng.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Collier County Community Redeyelooment Aqency. 3301 Tamiami Trail East. Naoles. Florida 34112 2. Bayshore Gateway Trianqle Community Redeyelooment Aqency. 4069 Bayshore Driye. Naoles. Florida 34112 3. The Pizzuti Companies. Two Miranoya Place. Suite 800. Columbus. Ohio 43215 mAS' ATTACH ADDmDNAC "'''''''' NCCCS",~ i /Yi~~i:natur~ State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this f\rJ- by Stacy Ellis Hewitt day of VVI olxv ;)0/0 ' 1st , who is personally known to me or has produced as identification and who did take an oath. ,"l~~'''''''' JENNIFER M. SHEPPARD ffl:~;; MY COMMISSION i DO 908267 ;*:.. .k} EXPIRES: November 16. 201,3 ~~...r.*~ Bonded Thru Notary Public UnderNliters ,RtI,~ 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). .~,__~.,._~.____ ~_._.___,__..,_._,,_.b,,~,~_,~'.rn-_.'__'~~_"~"'_."""""'-'"_.~.,,,;,~..~,"._M_'""'__'_'_"'_"__~"~~~'~_____'_'_ Receipt# 007112626 10/13/20102:31:15 PM 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 Record s@CollierClerk.com 239-252-2646 ! -I;:; iC21 (;-~) 10\ I[]I 0' ~J J\,-~ ~27 ~7 \2~ ~ r---J l~ ~ Clerk Office Location Collier County Gov!. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 ((=~ "'---"--:Jr 1 ' J "1-1 '\ IJ c:~ 'J r-l ~.~. -c ,-.:-, , I '. -, 1'1' ((--'--.)' L,~ I' \,,~ ~ ~J I I I J :,,--:) J C?, I, ~ - - 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 -, ~-I- [' ,.""~-:.1,rJ'::/(--\ /(;~1<;::;'0.. L/1JlJi/ (-~~)/i'(C:)U j\\, Page 1 of 1