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2024/2025 Lobbyist: P DBM Engineering Name: Andrew Petersohn E-Mai I: andrew(a�dbmenq.com Date Received Details 6/26/2024 New Registration - Exp. 09/2025 Collier County Clerk of Courts Expires c�q 2o25 3299 Tamiami Trail E. (Clerk's office only) Suite 401,Bldg. F,4th Floor Naples,Florida 34112 BOARD OF COUNTY COMMISSIONERS LOBBYIST REGISTRATION FORM Name Andrew Petersohn Date06/12/25 Business Name DBM Engineering, P.C. Business Address PO Box 165 City Fairview Village State PA Zip Code 19409 Contact Person Andrew Petersohn Business Telephone 6103042024 Lobbyist E-mail andrew@dbmeng.com Notice for Lobbyists: The annual registration fee is$25.00 per Lobbyist, per Collier County Ordinance No.2003-53,and amended by Ordinance 2004-05,Ordinance 2007-24 and Ordinance 2013-39.Please make payment(s)to: Collier County Clerk of Courts& Comptroller. (Mail to the address listed at the top of the form) NAME AND ADDRESS OF EACH CLIENT/ENTITY REPRESENTED: 1. Name Milestone Towers 2, Name Address 1801 Old Reston Ave Address City/State Reston, VA Zip 20190 City/State Zip 3. Name 4. Name Address Address City/State Zip City/State Zip (ATTACH ADDITIONAL CLIENT SHEETS,IF NECESSARY) State of ' ec.J T 1 ey County of€of 031Stim. AA-1(411,44c_ Lobbyist Signature This registration was sworn (or affirmed) and subscribed before me this day of Ti./l - , 20 )C� by `f e_) rl Personally Known BY: iiiMeteAD . CRA/l ,41 Produced ID Deputy Clerk/Notary Public Type of ID Produced (l!1 ((\vacs -e- THERESA�NCHERI Revised:08/2019 Notary PUb�c State ci y Conan.�!50211400 Jersey My C�xnrr»ssn Expires 7/12/2028 Receipt# 009009434 6/26/2025 9:56:48 AM Crystal K. Kinzel Clerk of the Circuit Court and Comptroller it 4, 1 If 11� Customer Deputy Clerk Clerk Office Location A.PETERSOHN BMR CASHIER Collier County Govt. Center DBM ENGINEERING, P.C. MinutesandRecords@CollierClerk.co Building F, 4th Floor PO BOX 165 m 3299 Tamiami Trail East, Suite FAIRVIEW VILLAGE, PA 239-252-2646 401 19409-0165 P.O. Box 413044 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# 1001 ($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. AQll@ QG[d(❑@gam] Page 1 of 1