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Leslie Graff 12/31/201012/24/2008 Leslie Graff 5080 Alton Rd Miami Beach, Florida 33140 SUBJECT:: Parks and Recreational Facilities Board Congratulations! You have been reappointed by Commissioner Ed Tobin to the above referenced agency, board or committee for a term ending: 12/31/2010. If you are unable to accept this appointment, please notify the City Clerk's Office at (305) 673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. Sincerely, Robert Parcher City Clerk cc: Saul Frances, Parking Director Kevin Smith ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-2458, 2-459 Ordinance 2006-3543 -Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance City Wide Permit Application - (Parking Department Form) Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees t ~ + `,,~ , , ~tF _ . 3 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-741 1, Fax: (305) 673-7254 TO Leslie Graff RE: Parks and Recreational Facilities Board I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2010. I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and Code of Ethics Ordinance), as well as theF/orida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Pub/ic Officers and Employees, and understand that as a member of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require- ments of Miami-Dade County or the State of Florida (dependin he board or co tttee on w ich I serve) on July 1st, following the closing of the calendar ye on _ich I have s~rv Sworn to and subscribed before me this ~ day of ~fz. - Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachFl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. NAME: ~~ I AI Y 1 I ~ ~,~~ ~"~ C€TY OF MIAMI BEACH BOARQ ANQ COMMITTEE APPLiCATIOh FORM /~ ` ~" Last Named '' st Name ~ ,/ Middle Initial ` HOME ADDRESS: ( ~~---~ r "~ No. Street City State Zip Code PHONE: ~~~ ~ ~ ~ r (l ~ ~ J~ ` ` ~ `3 Business Name: Address: ome Work No. Street Professional License (describe) State Zip Code Expires: Attach a copy or the license Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership~nterest for a minimum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months: Ye or No ^ • Demonstrate an ownershiplinterest in abusiness in Miami Beach for a minimum of six (6) months: Yves-B-ar'Flo ^ • Are you a registered voter in Miami Beach: Ye or No ^ • (Please circle one): I am now a resident of: North Beach South Beach Middle Beach 1 • I am applying for an appointment because I have special abilities, knowledge, experience. Please fist below: Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) D Affordable Housin Adviso Committee ^ Historic Preservation Board' ^ Art in Public Places Committee ^Housin Authori ^ Beach Preservation Board ^ Loan Review Committee" ^ Beautification Committee ^ Marine Authori ^ Board of Ad'ustment* iami Beach Commission for Women ^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council ^ Ca ital Im rovements Oversi ht ^ Miami Beach Florida Sister Cities ^ Committee on Homeless ^ Normand Shores Local Gov't Nei h. Im rovement ^ Committee for Quali Education in MB arks and Recreation Facilities Board D Communit Develo ment Adviso ^ Personnel Board"` 0 Communi Relations Board ^ Plannin Board D Convention Center Adviso Board ^ Police Citizens Relations Committee ^ Cultural Arts Nei hborhood District Overla (CANDO ^ Production Indust Council 0 Debarment Committee ^ Public Safet Adviso Committee ^ Desi n Review Board" ^ Safet Committee D Disabilit Access Committee D Sin le Famil Residential Review Panel 0 Fine Arts Board ^ Sustainabilit Committee ^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabilit & Accountabilit Committee "TRAC" ^ Golf Adviso Committee ^ Trans ortation and Parkin Committee ^ Health Adviso Gommittee ^ Visitor and Convention Authorit '" ^ Health Facilities Authorit Board uth Center Adviso Board D His anic Affairs Committee * Board Required to File State Disclosure form Fax Email address Position: r---, City - ~C~~R\SA,'_'_\Escarc ~. ~omrnitreeslSU!: Appii~~auon\6&:: k,pnii~a[ior. 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