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2009/2010 Dwight E. Brock Clerk of the Circuit Court Receipt# 007054839 2/23/20102:28:36 PM . < ."c'~ ,'~ 'I/I , I\t~' @vvo@o@o ~@@@O[ft)~ Deputy Clerk BMR CASHIER MinutesandRecords@CollierClerk.com 239-252-2646 Clerk Office location Collier County Govt. Center Building F, 4th Floor 3301 Tamiami Trail East P.O. Box 413044 Naples, Florida 34101-3044 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 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 ~@o 0 o@rr~O@rr(}:fo @@[f[JIJ Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: C1/ :;Y) ( ?O I 0 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Dean S. Ziegler Date: 2010-02-10 Business Address: Banks En9ineering 12653 SW CR 769. Suite B Lake Suzv. Florida 34269 Business Telephone: +1 (941) 625-1165 Email: dziegler@bankseng.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: L..J:Qjlier County Community Redevelopment Agency. 3301 Tamiami Trail East. Naples. Florida 34112 2. Bayshore Gateway Triangle Community Redevelopment ADeney. 4069 Bavshore Drive. Naples. Florida 34112 3. The Pizzuti Companies. Two Miranova Place. Suite 800. Columbus. Ohio 43215 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY /J // ~-- Lobbyist Signatur State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 10th , by Dean S. Ziegler day of February 2010 , who is personally known to me or has produced N/A as identification and who did take an oath. By:C/!tdktd /?hhv Deputy Clerk/Notary Public 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).