51 Simon Cruz 1/10/01 R7A
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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
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.\1AIl l....{i .\OIlRfSS I HE HOARD. COU.'CIL COMMISSION, AUTHORITY OK COMMITTEE ON
COr? J/Pr1 //0 ~ &v(/~/ LJr: WHICH I SERVE IS A [)~n Of-'
/7{)O )y ('I1Y o COU NTY C Ol H ER lOCAl A(;E:'fCY
CitY (,Oli~TY
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IMI E 0' \'\'HICH .\OlEOCC\RRF.D ,\1 Y POSITION IS
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WHO MUST FILE FORM 88
This form is for use by any person serving at the county, city, or other local (evel of government on an appointed or elected board,
council, commission. authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented
with a ,'oting contliet of interest under Section 112,3143, Florida Statutes,
Your .:sponsibilities under the law when faced with a measure in which you have a contlict of interest will vary greatly depending
on whether you hold an elective or appointive position, For this reason, please pay close attention to the instructions on this form
before compleling the reverse side and filing the form,
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures
to his special private gain, Each local officer also is prohibited from knowingly voting on a measure which inures to the special
gain of a principal (other than a government agency) by whom he is retained,
In either case. you should disclose the contlict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on
whieh you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS Ijy cumpleting and filing this form with the person responsible for recording
the minutes of the meeting, who should incorporate the form in the minutes,
APPQI:V;TED OFFICERS:
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the
special gain of a principal (other than a government agency) by whom he is retained.
.-\ person holding an appointive local office otherwise may participate in a maner in which he has a connier of interest. but must
jisclose the nature of the connier before making any attempt to innuence the decision by oral or \vritten communication, whether
:nade by the officer or at his direction,
iF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
fHE VOTE WILL BE TAKEN:
, You should complete and file this form (before making any attempt to intluence the decision) with the perso
recording the minutes of the meeling, who will incorporate the form in the minutes,
, A copy of the form should be provided immediately to the other members of the agency,
, The form should be read publicly at the meeting prior to consideration of the matter in which you have a c
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IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally Ihe narure o( your conflict in rhe measure before participating,
. You should complere the (orm and file il within 15 days afrer the vore occurs with the person responsible (or recording the minutes
of the meeting, who should incorporare Ihe form in the minutes,
I.
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DISCLOSURE OF LOCAL OFFICER'S INTEREST
, hereby disclose that on c14'ri"v~7 /0
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(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain: or
_ inured to the special gain of
, by whom I am retained,
(b) The measure before my agency and the nature of my interest in the measure is as follows: . 4 ~
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Signature
te Filed
nCE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
CLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
'EACH,"IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
.ARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED S5,OOO,
I K8- '-91
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