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2015/2016 Clerk to the Board, Minutes& Records Dept. Expires 0q )o/ 3299 Tamiami Trail East, Suite#401 (Staff use only Building F, 4th Floor Naples, FL 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Tina Matte Date 10/1/2015 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) / 16. 'S Lobbyist Signature State of Florida County of Collier The foregoing registration was sworn tp and subscribed before me on this I 44h day of O c t be r , by T i n c, r4)0,71-4-z. , who is personally known to me a -. : :: . -d and who did take an oath. J +J LORRAINE SONELLI BY: Ari/VUALP 1)1412-64 41 MY COMMISSION 9 FF199276 EXPIRES Folmar/27.2019 Deputy Clerk/Notary Public '4.016 ACIA The-it nua regis ra Ion ee 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. T%- k yon. RCUCI'.JIM• VVI VV I VV I 10/19/2015 2:44:57 PM 1t Dwight E. Brock Clerk of the Circuit Court Co)ffcI Customer Deputy Clerk Clerk Office Location TINA MATTE BMR CASHIER Collier County Govt. Center GRAVINA 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# 19356 ($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. ©®° 11[10UTC0® @oma Page 1 of 1