HomeMy WebLinkAbout1978 09 12 Regular
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MEMORANDUM OF YOTING CONFLICT L 'c?6 7f ,19~
Address:
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_ART A
Name:
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(ZIP CODE) (COUNTY)
PART B
Agency is a unit of [check one] : ( ) State of Florida; ('.x; County, City or other Political Subdivision
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Position held in Agency: .(f2a/IJG;( O>1,tf ,j
Name of Agency:
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes S 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, please disclose the nature of your interest
below.
1. O"'''pt; 00 of th, m"", "POO wh ;,h yO" yo"d ;0 yo", off;o;,' "p,,;ty, (!' fin /vi cI ~ () r tl if;
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2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
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