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38 Simon Cruz 7/21/99 Quick Take Item t)/("a TAICG"L,rt-nf. FORM 88 MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS 1.\.";-[ :-;,\,\IF I-IK:O;1 '\.\11 :l.lIllPl r .'i..\.\IF N"."rlEOI- HOARO.<:UU,'CtI..<:OMMISSIO!'o.AIJlHORllY.OR C:OMMI1TEE Q R-~ 2- I V'^-.10 ,I; ~ I HE HO'\RD. COU'''C1I~ COM."'ISSION. AUTHORITY OR COMMITTEE ON WHICH 1 SERVE IS" lJNI1"Ofo"' ;(CIlY 0 COUNTY C 01HERIOCAI.A(;E~CY NAME Of l'Ol.ITIC,\L SUI:JO"dS10I'i; '6'c:>P~[ : ....',\11 I.'<j .\DI>Kf~S s:.. 77 ",?a- 0-0 Je.c:...~ 'p,..-,' Cll Y c, MY POSITION IS: )It Ei.EClIVE 0 APPOI.'iTI.....e WHO MUST FilE FORM 88 This form is for use by any person'serving at the COUnty, cilY, or other local level 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 presenled with a voting connicl of interesl under Section 112.3143. Florida Slatutes. Your, :sponsibilities under the law when faced with a measure in which you have a conflict of inlereSt 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 completing Ihe 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 g.ain of a principal (other than a government agency) by whom he is retained. In either case. you should disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are abstaining from voting; and WITHIN IS DAYS AFTER THE VOTE'OCCURS "y cumpleling and filing this form with the person responsible for recording the minutes of the meeting, who should incorporate the form in the minutes. APPOINTED 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. ' A person holding an appointive local office otherwise may panicipate in a maner in which he has a connict of interest, but must disclose the nature of the connict before making any anempt to intluence the decision by ora! or written communication, whether made 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 influence the decision) with the pe~so nsible for recording the minutes of the meeting. who will incorporate the form in the minutes. 3 g . 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 connict of interest. 'JR."1 ,'t8 .1-91 P..it.GE I IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: . You should disclose orally the nature of your connict in the measure before participating. . You should complete the form and file it within IS days after the vote occurs with the person responsible for recording the minutes of the meeting. who should incorporate the form in the minutes. (':) () OISCLOSURE OF LOCAL OFFICER'S INTEREST ~ -I' t.L( j) N L If L-'lc. . hereby disclose that on T 0 ( 1. ..:11 ,191..3.: I, (a) A measure came or will come before my agency which (check one) _ inured to my special private gain; or ...1!- inured to the special gain of ~e7> .; A"'7t-J .<: L/; ~ 4' , by whom I am retained. (b) The measure before my agency and the nature of my interest in the measure is as follows: " ... I .d .. C'. ~ /.?, v/ ... 7" A 5 2 ,,~/,/~-c-e.~ r ,/;T.-.~., ;, , . ~ J.P,.,-rti k ~ e o'~ 4' T" .n? H'Y7 c.,f ~r:. / / .-7 ~oj ~C--(I /??? c>.- ,., e.-- / / //-'/?c-,~~ .-~ :ce Filed 7'c71 77 .C.~..~ SlgnalUre 'TleE: UNDER PROVISIONS OF FLORIDA SfATUTES ~1l2.317 (l98S), A FAILURE TO MAKE ANY REQUIRED ;CLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: ?EACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION IN '.ARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED 5S,OOO. PAoe 2 .tICB- r..9r