HomeMy WebLinkAbout1980 12 09 Regular (2)
· , FORM 4 I
.MEMORANDU~?F~YOTING CONFLICT
\:HA
Name: l4;Jm3n/ ~
(LAST) (FIRST)
~[)t, ~/?/~h /,(/1
DATE ON WHICH VOTE OCCURRED:
/~ - '? - g:>l)
,19_
(STREET)
<f)
(MIDDLE)
&4Ji7le"e ~~
(CITY) ,
Telephone: '"'3~ 7 / ~t>D
(A/C) (NUMBER)
P ~~?O~ ~;r1,~/~
(ZIP CODE) (COUNTY)
Address:
PART B
Agency is a unit of [check one] : ( ) State of Florida;
.--r-J J ~. ~
Name of Agency: -I L' --,-. . r'
_ .L,.-- j' ''-"'..,p
Position held in Agency: /~e- , , ~t-
(......(""County, City or other Political Subdivision
,5 CI7Y ~r ,,0~~~ tIJ~,eJJiJ,9-S
C/1v GrJ II tV C It 1M tl ,t)
,
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.
~1I7-!:- "'0 T I
. ,to! ~ A.lQR~
J.or 3
/.crr~
1. Description of the matter upon which you voted in your official capacity: 7 ib 7e# -10 ti/;/hve af ,,).t!Jr-
~/TX. tJ If! ~/lJC ~'5 .-recT 5'
~.t'1 ,e1fA)c-A~~ $'~c-r S
It
, \
, \
"
~)
;/
It
( t
( (
I (
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:
.
/") ---- ----- .....--.. I .~_
....-'-- I, /L I fJ_o 1 C _. /
.