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2009/2010 Dwight E. Brock Clerk of the Circuit Court Receipt# 007054839 2/23/20102:28:36 PM . '; ~" .'~''-~: r, '\\'/ Ilil, il~'-\ @vvo@DCIDD ~@@@D[J)U Customer DAVID R. UNDERHill, JR.; STACY ELLIS HEWITT; TODD R. REBOl; DEAN S. ZIEGLER BANKS ENGINEERING 10511 SIX MILE CYPRESS PKWY FORT MYERS, FL 33966- 6461 Deputy Clerk BMR CASHIER MinutesandRecords@CollierClerk.com 239-252-2646 Clerk Office Location Collier County Gov!. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 1 Product QUANTITY 1 DESCRIPTION BMR lobbyist Registration UNIT COST $100.00 TOTAL AMOUNT DUE: Check# 14900 BALANCE DUE: AMOUNT $100.00 $100.00 ($100.00) $0.00 ((;;@UUO@!l((;;U@!lf%o (t;@[![l[J Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: "1/ ?>D( :).0/0 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Todd R. Rebol Date: 2010-02-10 Business Address: Banks Engineering 12653 SW CR 769. Suite B Lake Suzv. Florida 34269 Business Telephone: +1 (941) 625-1165 Email: trebol@bankseng.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Collier County Community Redevelopment Agency. 3301 Tamiami Trail East. Naples. Florida 34112 2. Bayshore Gateway Triangle Community RedeveloDment Agencv. 4069 Bayshore Drive. Naples. Florida l4l1l 3~ The Pizzuti Companies. Two Miranova Place. Suite 800. CDlumbus. Ohio 43215 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY ~---- ,-- '/--./ ~ . ~~t/ State of Florida County of Collier The foregoing registration was sworn tD and subscribed before me on this , by Todd R. Rebol 10th day of February 2010 , who is personally known to me an oath. N/A as Identification and who did take or has produced (I) HEATHER L. POLITO NolIIy PutIIIc . SlIIe 01 floltda . . _tar .,. ,iIpINo......2012 e'-ll1111 . DO ,... .......~~!IaIIIr-. BY~~ Deputy Clerk/Notary Pubiic 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).