Delvin Fruit 12/31/2013 m MIAMI BEACH
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)673-7411, Fax: (305)673-7254
February 7, 2012
Delvin Fruit
4590 N. Jefferson Ave.
Miami Beach, FL 33140
SUBJECT: Transportation and Parking Committee
Congratulations! You have been re-appointed *by virtue of your being a Representative for the
Mid-Beach Community Association to the agency, board or committee named above for a term
ending 12/31/2013.
If you are unable to accept this appointment, please notify the City Clerk's Office at (305)
673-7411 .
Sincerely,
4 4 �-Iaz,,�-
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
We ar committed to providing,excellent public service and safety to all who live, work and play in our vibrant,tropical, historic community.
A T, i ei;nrneo t , rn:anc excellent putt r._ery ce and sofety ro cii who/Ale, ''ACgK, or, dcy .. vrL r^nr t,r?cci; historic coma :;n`
r�
m MIAMI BEACH
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
TO Delvin Fruit
RE: Transportation and Parking 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 I have
been appointed for a term ending: 12/31/2012.
1 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 theFlorida 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-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve)on July 1 st,following the closing of the calendar year on which I have served.
._
Delvin Fruit
Sworn to and subscribed before me this 4 day of 1 . , 2012.
�U _
�R,—Silt'' rieto
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.
MIAMI BEACH
city of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www miamlbeachfl.aov
CITY CLERK Office CityClerkC�miarnibeachfl..gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines/suspension for Board Members for failure
to comply with Miami-Dade County Financial Disclosure Code Provision
Code .Section 2-11.1(i) (2)
Board Member name: q" �
understand that no later than July 1, of each year all members of.Boards and
Committees of the .City of Miami Beach, inciudin_g those of a purely advisory nature, are
required to comply with Miami-Dade County Disclosure Requirements, This means that-the
-members of City Advisory:Boards, whose sole or primary responsibility is to recommend
legislation or give advice to-the City Commission,must fiie,even-though you may have.been
recently appointed.
YOU must file one ofthe following with the City Clerk of Miami Beach, 1700 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 Code Chapter 1, General
Provision, Section 14 may subject the person or firm to a fi ne not to exceed
.$500.00 or by imprisonment'in the county.jail fora period nvt to exceed sixty
days, or both.
t:t). P< . Z- 6-- 1 Z
Signature:
Drate:
please.Print.or Type First Name middle Name Initial Last Name Disclosure
For Tax Year
eL rrL) L' Ending:'W I `
Name: —
g43s
Mailing Address:
City/State/Zip.' I/1/l t Nil �• K7 e`� C
:
Social.Security Number:
Filing as a: ® County Employee:
® Municipal Employee Of:
position held or sought:
Board where serving: -Term or Employment
Began.on:
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to Telephone:
WOrtC Tet9
Florida Statutes§115.07 please check here(read instructions); P '
Hoene Address: Street Address
City .state_ Zip Code and
Plea list below in descending order with the largest source first, the name, dress You
principal business activity of every source of your income including Public
received or any person received for your.benefit or use during the disclosure
re peel d an
income of your.spouse or-any business partner need not.be.disciose:d•
separate sheet, check here: IE3
•Descrip`t►on of the Principal
Name of Source of Incom
Address Business Activi
Z hereby swear (.or aff'irrn) that the of aid information is.a true and zorrect statement.
Date signed
.Signature of person disclosing