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HomeMy WebLinkAboutConflicts Disclosure Statement-Conflict of Interest-10/5/2012 (2)~~GA~ ~C~V~~iv E T C3~'~1~~~2 ~p~ [~ ~fl~~'LIC~°~ ~~~~~.~5~~~ ~°T~,T~ ~~T {!I'3`5$~"liC:~?-+'.+':":5 ~J?' trOt'Y~~;r,%ii"i~ r.'3. Y1C~'~li€fiC,~. ?'F?iS ~C.fYi', cll'E ~.?!'C~'V?~E:~ ~:2t"! T~'i~ ~ ;LXi~ °t.7c3~j~. 1 This questioran~aire retlec#s cFaanc~es mar~e ta #Yse tas~ ~5;~ H.B. '1~31, ~Oth Leg., ~~guPar Sessson. ~~~~~~ $~~~ ~~~.~° ~~li~ 1$ ti1E3 ri0i1G~ $O thE.' ~~~1fO~f'laf@ ~GG21 C~C;V~,'(iliTi~Cit~i ~(l~liy ~~l~i' ~~iEt ~Oi~Q4`Vi11~ ;`J'Cr3~ aotl~t-nm~:nfi o~fic~.~~ h~s c?~c`.c~n~e ~~~'~r~ af facts i'r;at t~e,~uir~~ t;t~ c>f~t;er to f;a~> tF,~s 4fat~mE;rt -~.~te ~ec~~v~ ;fi r~3~CCrC'..c`3t1C.°~14it~? l..flu~',L~~F'.C ~ I~?; ~..~C~3i vOr'~r(~S"il~iti'~.E?C~E'. Fp`•, ~ ~ ~ ~ ~ ~ I + ~ ~ Narne af Lacai :~saverna~ent C7ffi@cer l~lr~~ /~/jarol N l~ei f~1 oCT ~5 2012 . n ~ c~~~g~~ ~~~~ CITY SECRETARY'S OFFICE H~s~-o~~e~l 1~i'eserva~7on ~orn mi l~"~~ ~ Nat~e af p~rs~~ d~scribed by se~ti~ns '676.Ot?2da) ~r~d ~# 76.~Q3g~}, Lc~c~{ C3overnr~€~rat ~o~3e ~`~ 4 [3~scripfiian of tf~e ~ature ~ntl ~xtes~# of e~rtploy€n~nt crr eat€~er ~usane~~ relatiesrash'sp wiin ga~rsan named in iferra 3 ~~~ ~ List gifts acc~pted by the local gas~~rnment ~ifficer as~ci ar~y fam€ly rne~°sber. excludirag gi##s descr€bs~ by S~ction 17S~t3iS3(a-'€}, it aggre~af~ ualu~ csf the gifits acc~pfi~~i ~resm p~rsors na~~d in i#em 3 exceed ~25ti duria~g t€~~ 1~-snsa~th perioc# s~escribe~9 by S~cti~n 176.0C33(~){2~(F33 Jate ~ift F~cce~:ted ~_ '.~!~_~ vescr;~ation of ~ift ~v ~~~_______~.______~___~_______~ L~3Y#? taliP. ~`-aCC2~.3~`~'C.i ----! („/ ~ +~ C$~~?'Ip~~i~i'S C~f ~'.-~, !~ ~ ~ ~ ._..._._.___.__.~ _____~__....__........r.__.v.___._.___~.____e__~___._._._.__._..__v. ~,. ~j //JJ /p ( ' f ' ` ' ~~~ ,7ii4~i G it `~ ` ia~'.S~vfi~~ ~~ Li2:E: i~tT~r 3CCG'? i~`;k (~ii`G.'^~'t ~C;L~:TiORral ~OI'S.n,S i?S ~1.'v'G'e'S'S~~}'~ ~ ~~~~~~#~~~ i S~l~+°~`3?" l14it~£'f '6.'c.ilt3l4}' fi{ CS~..Yitlt'V fE'SUf'~I1C' 3'f.'OV8 ~e~i~'P"i;Gt?t ~S t(UE: 8,rtiT~ C,'OYfBC'i. ~ 2~C{CilO~":~£'f'~:J$ X!S~t i~'k: (SISC~()all[P.. ~a~~i~:fi lC :~ !~Yiiify ?t~1~tT5:7Bf ;;`u*S Q`~~Et1P:e~ JV .5`BC?fC^ i'i'S.~3t`'..~~(2'j. ~OC.'il GUVB{~Ci!11~91~ COi~C?} pf $?115 ~~Cc^,~ '~bVE([lf'YlC'i~L q.~7ikB(. I di50 ~C{~:fl~WiECICjG f',hc'it ~if?i5 SF8;E3;'f?075~ ' .Ct~E. 7Rw C6tiEJCS ~C~'i8 ~~.?'i;'1Cf?fi!l '~.-"~CI'l6C3 tfeSCSibBt~' i.7y SeCtiC:f? ~!~-~3~i~{~j, i. i~! ~:iC`/f.:(RlYI@S'; C, ~~ J~Y1~M11fR7~ f{ ~~ ` ` ~ _ ~, !~~~ `~+ . ~ } ~ ~swFS O~ ~7ip . 9y~, 2 ~ .....~~~ ~ ~~ w~ ~ ~1 Signature af a al GevPrnment C?f§icer .,,-~ix .,r~~<~n~~r ,, >,rr> , 5~ai_ ;;~sc~~/t /j~ ~ ~i V~~. i ~- _ ~ Sx~o3'n `,.<> and sc:k>:..~;r;br,.t .~erc=rr rre, t,y±i2~, ~sai~i ~ " ` ~ ~ l ~(/ yl 1. C' :tass ~f;e ~ .lay __----------------------i'-_"_~----------------------__'---------------------- ---------------------_.. L;f aC. ~L~ t)'t' ~ ~_.~__ , ffJ CiftifiY "vNk?:Gf;, 'ulJfitlE:S:> ~l"i}~ flce~i~ r3E?fj S2r~i +3~ J~lC2. __. ~ ~ - . ~-- , ~~ - - i _ - ,~ ,~ 1~ ~ k ~ ~ ~ ,.,,, ~.~~-~- ~ ~~~. ~ k, K ~ ,,t,~,p ~ ~ - ~ ~- , J r ~.~.;~ ~ _~~~--- - ---~'-----------------------~-~,---------------------------_----------------------- `----------------------------------- .>~gnstt,re of oftic~r ~~mini~teain_c, ~att~~ ~s~~~tt~~~ ;~ia~ne i7~ c,f~~ r~cirninisteesnt~ ~~~th Tid4c+ af c,~ec~r 3ci^3:r~is'tcarir,y oath i I ~ f~dap;eci ~6;25l20~J? ~