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2009/2010 Receipt# 007054839 2/23/2010 2:28:36 PM Dwight E. Brock Clerk of the Circuit Court "';", :,;" " . .'>: . " :,,-- '\\/ I'Ili:",:\R....' @vvo@oCIDD ~@@@o~~ 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 ~@O 0 D@!l~O@!l[};ro @@flllV Page 1 of 1 Board Minutes & Records 3301 Tamiami Trail East Building F, 4th Floor Naples, FL 34112 Expires: -1/ VJ{O BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name: Stacy Ellis Hewitt Date: 2010-02-10 Business Address: Banks Engineerina 10511 Six Mile Cypress Parkway Fort MYers. Florida 33966 Business Telephone: +1 (239) 939-5490 Emaii: shewitt@bankseng.com NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1. Collier County Community Redeyelooment Aaency. 3301 Tamiami Trail East. Naoles. Florida 34112 2. Bayshore Gateway Trianale Community Redeyelooment Aaency. 4069 Bayshore Driye. Naoles. Florida 34112 3. The Pizzuti Comoanies. Two Miranoya Place. Suite 800. Columbus. Ohio 43215 PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY State of Florida County of Collier The foregoing registration was sworn to and subscribed before me on this 10th , by Stacy Ellis Hewitt day of February 2010 , who is personally known to me - or has produced as identification and who did take an oath. "'^"'~'i;j:;:. JENNIFER M. SHEPPARD {.'fA"':J, MY COMMISSION # DO 906267 I"".~.;..' EXPIRES: November 18, 2013 . ~i;iif.:Th~"~ ~~n~_Thru Notary Public UndelYt'l'lttrl BY: 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).