It depends on what lstCommercial.Items is. If it is a Collection object, then you can get the index of an item using the following:
outFile.WriteLine(lstCommercial.Items.Item(intIndex))
If it is an array, then instead of using the Count property to find the length, you should rather use GetUpperBound(0) to find the last index:
For intIndex As Integer = 0 To lstCommercial.Items.GetUpperBound(0)
I have very little experience in Visual Basic so I am probably wrong, but I have just gathered this from reading Arrays in Visual Basic and Collection Object (Visual Basic).
Also, looking at the docs here, you may need to 'Flush' the buffer to the file before closing it:
outFile.Flush()
'close the file
outFile.Close()