Alfredo Rey 12/31/2012 0
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673 -7411, Fax: (305) 673 -7254
1/10/2011
Alfredo Rey
610 S. Shore Drive
Miami Beach, Florida 33141
iLL! ;J Safety Committee
Congratulatio s! You have been reappointed by Commissioner Deede VVeithorn
to the above referenced agency, board or committee for a term ending: 12/31/2012.
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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,
/64 S
Robert Parcher
City Clerk
1 n
cc: Saul Frances, Parking Director
Clifford Leonard
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Secti n 2 -22, 2 -23, 2 -24, 2 -25, 2 -26 , 2 -2458, 2-459
Ordinance 20063543 - 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 Perm Application (Parking
ty pp Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
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Miami City of Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Percher, City Clerk
Tel: (305) 673 - 7411, Fax: (305) 673 -7254
TO Alfredo Rey
RE: Safety Committee
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 h I h
i Y c have
been appointed fora term ending: 12/31/2012.
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 Public 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-
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ments of Miami -Dade County or the State of Florida (depending on the board or committee on which
serve) on July 1st, following the closing of the calendar year on which .I have served.
Alfre � 9ey
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Sworn to and subscribed before me his ( da o ,
Y 21 1.
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__________ s_s p ....„0"..._a_70,1_,
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beath 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.
•
M I AM I BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miarnibeachfl.gov
CITY CLERK Office CityClerk@m i amibeachfl.gov
Tel: 305.673.7411 Fax: 305.673.7254
Ackriowledgement of fines/suspension for Board Members for failure
to compl y with Miami -Dade County Financial Disclosure Code Provision
Code Section 2 -11.1 (1) (
2,/ Board Member name: / 4
I understand that no later than July 1, of each year all members of :Boards and
Committees of the City of Miami Beach, including those of a purely advisory nature, are
required to comply with Miami -Dade County Disclosure Requirements. This means the
members of City Advisory Boards, whose sole or primary responsibility is to recommend
legislation or give advice to the City Commission, must file, even though you may have been
recently appointed. .
You must file one of the following with the City Clerk of Miami Beach, 1'700 Convention
Center Drive, Miami Beach, Florida, by July 1 each year.
1. A "Source of income Statement" (attached) or •
2. A "Financial Statement" (attached(. or] •
3. A Copy of the person's current Federal Income Tax Return
Failure to file, according to the Miami -Dade County Chapter ter 1 General
P
Provision, Section 1-5 may subject the person or firm to a fine not to exceed
$500..00 or by imprisonment in the county jail for a period not to exceed sixty
days, or both.
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Signatur- • D a e:
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. MIAMIS
COVNTY SOUR:CE OF 'INCOME STATEMENT
. ,
Please. Print .or Type First Name Middle . Name/Initial Last Name
/ Disclosure
Name: / 4)-LF - R6--do P _ For Tax;e4r,
. Ending: V 0 ,
Mailing Address: /, G -5/7
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.
/4//'/(// it5ee i
City/State/Zip: . j - t 33/
Social Security Number: .. - -
Filing as a: 112 County Employee:
1:3 Municipal Employee of:
Position held or sought:
.
Board where serving: . ii1 Term or EmPloyrnent
:Began on: .
1.'
Department employed: / 47e -2..
Work Address:
If your . home address is exempt from - public records . pursuant to .
Florida Statutes § 119.07 please check here(read instructions): 0 Work Telephone:
--- ,41/-'f' --
Home Address: __....---:' ii friJ I e----
Street Address
City State Zip Code
( '.\
. Please list below in descending order with the largest source first, the name, address and
principal business .activity of every source of your income including public salary you
received or any person received for your benefit or .use during the disclosure .period. The
income of your spouse or any business partner need not be disclosed. If continued on -a
.. s_eparath sheet, check here: 0 .1
Description of the Principal
Name of Source of Income Address Business Activity
_.....-------
t7r-/L21> _
,
. _
I hereby swear (or affirm) thatthe aforesaid information is.a trim and correct.statement.