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2014/2015
Clerk to the Board, Minutes & Records Dept. Expires (A-1 0 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 Date8/25/15 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) —7"<- - (7 A Lobbyist Signature State of Florida County of Collier The fore oing registration was sworn to and subscribed before me on this a.S-I-1�, day of !o y si-1 015, by I t v\a M c. , who is personally known to me ; ? LORRAINE BONEU.I� •`. MY COMMISSION#FF199276 BY: a°(YI/LCLAA-1) "5°1-%1-66 • , EXPIRES February 27,201:, I Deputy Clerk/Notary Public 1407y:s9V-0153 FbridalloraryS¢n�.car 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. rwi,wit.Jlrr VVI J,...1 IVV 8/31/2015 10:18:53 AM �, ,f Dwight E. Brock Clerk of the Circuit Court ffffIo a o 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. CC [1171 1 ©[1®1 l Zoga ] Page 1 of 1