36 Jose Smith 7/21/99 C7K
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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
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NAME 0" HOARO. COU:'ooCIl.. c:OMMISSIO..... AUl HORllY. OR COM.IoiI1TEE
MIA- j;,~MH C~'t1( CCj(f'lIS~I()1(
I tiE HO,\RO. COU:'IlCIL COM.\IISSION. AUlHQRln' OR COMMITTEE ON
WHICH I SERVE IS.\ UNIT OF-
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~CI1Y
C COUNTY
a OlHER LOCAl. ,,(;E:-O("V
COt.: ,'lTY
;"\l,\,\IE 01-' 1"OIITlCALSUIWIVISION;
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1),\ [E 0'" .... HICH \'01 E oen RRF.D
,\1 Y POS ITION IS:
~Ei.ECiIVE a APrOI....T'\'E
WHO MUST FILE FORM 88
This form is for use by any person serving at the county. city, 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 presented
with a voting conflict of interest under Section 112.3143, Florida Statutes.
'lour, :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 completing 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. Y'ou 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
. which you are abstaining from voting; and
.
WITHIN IS DAYS AFTER THE VOTE OCCURS ~y cumpleting and filing this form with the person responsible for recording
the minutes of the meeting, who should incorporate the form in the minutes.
APPOI:"lTED 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 participate in a matter in which he has a conniet of interest. but must
disclose the nature of the conflict before making any attempt to innuence the decision by oral or \..'riuen communication, whether
made b,. (he officer or at his direction.
I F YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
. You should complet~ and file this form (before making any attempt to influence the decision) with the pers~onSible for
recording the minutes of the meeting, who will incorporate the form in the minutes. ( ~
. A copy of the form should be provided immediately to the other members of rhe agency. )'-e
. The form should be read publicly at the meeting prior to consideration of the matter in which you have a con iet of interest.
:OR....' ~B. 1.41
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose or311y the nature of your connict in the measure before participating.
. You should complele lhe form 3nd f1Ie 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.
I.
,,' os(" 5"M ITU
DISCLOSURE OF LOCAL OFFICER'S INTEREST
, hereby disclose that on 7/21 IIlft
,19_:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain: Or
tI' inured to the special gain of
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~ AP..KII'I & 5 'r's.. rf"'MS
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, by whom I am ~.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
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H. ~ pY Ov '2 -rv AfJ-2€
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nCE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
2LOSURE CONSTITUTES GROUNDS FOR AND MAYBE 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 S5,OOO.
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