Valerie Crawford 12/31/221\/\ I At\/\ I H
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Vakl( 1 � CJ�d
lV\ lo(Y) I CY\ \�c..lC.BOARD/COMMITTEE: AJ v\s�v� Gm M'd:i:v
DATE OF APPOINTMl;t-.tT: -----Th� \-\<:w'Qra lo Le Appointed by: 4?ffim\ss I� �(ill/
FOR SCANNER
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FOR CLERK STAFF o Letter of Appointment
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TERM ENO: J2 ) 31 j2<::i 22-TERM LIMIT: -----o Letter of ReappointmentoCopy of Letter of Appointment/Reappointment e-mailed to Committee
�oard and Committee Application (Completed on ac.kabJo, 7J::l7P) �esume/Curriculum Vitae �iversity Statistics Reporting (Completed on �hb I Q.?A],) <D--Oath 1
IMP<l)RTANT INFORMATION FOR BOARD ANO COMMITTEE MEMBERS BOOK { City Code Ordinance Section applicable to the agency, board or committee ✓City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
Liaison on
✓County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance (asamended through December 2010)✓Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)✓Highlights of the Miami-Dade County Ethics Code✓Sunshine Law and Public Records -Frequently Asked Questions✓Memorandum -Solicitation by City Board and Committee Members
Gt'Citywide Permit Application (Parking Department Form)
<l'Booklet-Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o ✓source of Income Statement
Scan o <Y°Acknowledgment of Financial Disclosure Requirement
<Yl>IVERSITY STATISTICS REPORTING K in file and ORIGINAL for Annual Report.
Received on: �-bbcv:: ( 7, mi:::::: Signed by X. ____ ----¥-------------Date
Processed on: __________ By Employee: ____________________ _ Date City Clerk's Office Staff Initials
Scanned on: __________ By Employee: ____________________ _ Date City Clerk's Office Staff Initials
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials Scan o
Resignation Letter Date Processed Initials Scan o
Removal Letter due to absences Date processed Initials Scan o
F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
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12/31/28
10/15/2020
10/15/2020