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2014/2015
Clerk to the Board, Minutes&Records Dept. Expires f /� 3299 Tamiami Trail East, Suite#401 (Staff use onl ) Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Tina Matte Date 8/25/15 Business Address Gravina Smith Matte & Arnold 12474 Brantley Commons Ct. Fort Myers, FL 33907 Business Telephone 239-275-5758 _E-Mail lorraine @gsma.pro NAME AND ADDRESS OF EACH PERSON OR ENTITY REPRESENTED: 1). Team Collier 12474 Brantley Commons Court Fort Myers, FL 33907 2). (PLEASE ATTACH ADDITIONAL SHEETS,IF NECESSARY) i%ifl Lobbyist Signature State of Florida County of Collier The forgoing registration was sworn to and subscribed before me on this 2S-1-h day of ! u e S+ oZ 015', by Y t h A fv\a 44( ,who is personally known to me or-lies oduc 4 �C'� LORRAINE BONELLI ,�( . "501-61-66 "s`t MY COMMISSION#FF199276 BY: �/ ��'k O ' .+ } EXPIRES February 27.201: Deputy Clerk/Notary Public 40744-0153 Florida, „ SGMMCOT The annual registration fee is $25.00 per Lobbyist, according to Collier County Ordinance No. 2003-53, as amended by Ordinance 2004-05, Ordinance 2007-24 and Ordinance 2013-39. Please make payment to: Collier County Clerk of Courts or Dwight E. Brock, Clerk of Courts and mail to the address listed at the top of the form. R lf CI,..CI1Jf V V I..1J..1..1J..1 I V V I 8/31/2015 10:18:53 AM c Kcr„4� Dwight E. Brock Clerk of the Circuit Court 0 , 00 0 rcit 0 ffff OCC� _ — )\ '7\�\ —7 Customer Deputy Clerk Clerk Office Location TINA MATTE BMR CASHIER Collier County Govt. Center GARVINA SMITH MATTE & MinutesandRecords @CollierClerk.co Building F, 4th Floor ARNOLD m 3299 Tamiami Trail East, Suite 12474 BRANTLEY COMMONS 239-252-2646 401 CT P.O. Box 413044 FORT MYERS, FL 33907-5688 Naples, Florida 34101-3044 1 Product QUANTITY DESCRIPTION UNIT COST AMOUNT 1 BMR Lobbyist Registration $25.00 $25.00 TOTAL AMOUNT DUE $25.00 Check# 19291 ($25.00) BALANCE DUE $0.00 Note: Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. ©CQQD®TQ@ ❑@Qo BM Page 1 of 1