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Jo Manning 12/31/08 tD ~ City of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochR.gov OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk Tel: 13051673.7411, FAX: (305) 673.7254 01-31-2007 Jo Manning 1460 Ocean Dr #408 Miami Beach, Florida 33139 SUBJECT: Transportation and Parking Committee Congratulations! You have been appointed by virtue of your being a representative for the Miami Design Preservation League to the agency, board or committee named above for a term ending 12/31/2008. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. 9;~~UJ Robert Parcher City Clerk cc: Saul Frances, Parking Director ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543 - Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and We are committed /0 providing excellent public service and safely 10 01/ who live, work, and play in our vibrant, troplCol, historic commun;fy tD ..... City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEl: {3051 673.7411, FAX: {3051 673.7254 TO Jo Manning 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: 12/31/2008. i 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. Sworn Jo Manning to and subscribed before m~ thi~ day of~nJ' 20~ ~C)\s.N) d Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachft.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We are committed to providing excellent public seNice and safety to 011 who live, work, and play in our vibronf, tropical. historic community m - MIAMI BEACH CITY OF BEACH BOARDS AND Cm/iMITTEE .l,PPUCATION FOI~M NAME: _01 -A: rJ N IN&; J"o ;~ 1.3 ( Last Name ) First Name $ . r I A r Mid~ Initial . / HOME ADDRESS: /1 & 0 0 Cett v'\ 1;)-0 (/ ./ -e.. '-f t/ J l!JL1 MM b~ r:- L- No. Street . City I State Zip,code PHONE: JJ()j ~ 5'3 ? - :i> 2- r 0 _ ~. ch-- VY\ tAl }, @ (r IA.Jl. O. Q 0 Vl1 Home r/ Work ./ Email adlifess Business Name: --- --- Position: Address: ,_",._.m. No. Street /\tt0Cf: .:J C('PY Professional License (describe) City State Zip Code Expires: ttc8nS0 Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minim? of six months in a business established in the city. . Resident of Miami Beach for a minimum of six (6) months: Yes.."ror No 0 . Demonstrate an ownership/interest in a business in ~i Beach for a minimurn of six (6) months: Yes~ No 0 . Are you a registered voter in Miami Beach: Yes ~r No D . (Please check one): I am now a resident of: North Beach D South Beach ~iddle Beach D . I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlY three (3\ choices will be observed by the City Clerk's Office. (Regular Boards of City) D Art in Public Places Committee o Beach Preservation Board o Beautification Committee o Board of Adjustment* o Budget Advisory Committee o Committee on Homeless o Committee for Quality Education in MB o Community Development Advisory* o Community Relations Board o Convention Center Advisory Board o Debarnnent Committee o Design Review Board* o Disability Access Committee o Fine Arts Board o Golf Advisory Committee o Health AdvisoryCommittee o Health Facilities Authority Board o Hispanic Affairs Committee o Historic Preservation Board* . Board Required to File State Disclosure fonn o Housing Authority* o Loan Review Committee* o Marine Authority* o Miami Beach Cultural Arts Council D Miami Beach Commission on Status of Women o Miami Beach Florida Sister Cities o Normandy Shores Local Gov't Neigh. Improvement o Oversight Committee for General Obligation Bond o Parks and Recreation Facilities Board o Personnei Board* o Planning Board* o Police Citizens Relations Committee o Production Industry Council o Public Safety Advisory Committee o ~fety Committee )a"Transportation and Parking Committee o Visitor and Convention Authority* o Youth Center Advisory Board F:\CLER\SALL\B&C AppHcation\B&C Application Revised 091106jakes.doc Note: If applying for Youth Advisory Board, please Indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: Yes.J No Ii Years of Service: 2. Present participation in Youth Center activities by your children YesU No lJ. If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: _ Program: Child's name: Age: Program: .Have you ever been convicted of a felony: Yes 0 or NO~eS, please explain in detail: /' . Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No ~es, please explain in detail: ./ . Do you currently owe the City of Miami Beach any money: Yes 0 or NO~ yes, explain in detail . Are you currently serving on any City Boards or Committees: Yes 0 or N . If yes; which board? . What organizations in the City of Miami Beach do you currently hold membership in? "~$:DTl- TI" :E~ Name: fAJ:f (}J t~~ raY.- <$ Til~ ~~ . List all proporel?wne~ h~ve an interest in, which are ~ed within the City of Miami Beach: /4"0 cetGn ~ v-e- ~ fo 'is "'0--\1\1\'1 ~ rL S'3/3f -- . I am now employed by the City of Miami Beach: Yes 0 or No . . Pursuant to City Code Section 2-25 (b): Do you have a parent 0, spouse 0, c~d 9: brother 0, or sister 0 who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): N V r This sectio 's "not required" but desired: Age: (P 5 years old Gender: Male 0 Femal Ethnic Or' in (Check one) White' African-American/Black 0 Hispanic: 0 Asian or Pacific Islander 0 American Indian or Alaskan Native 0 Employment Status: Employed 0 Retired 0 Home-maker 0 Other 0 "I hereby attest to the accuracy and truthfulness of the application and have received, read and wili abide by Chapter 2, Article VII- of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." , fPplican I (Please... ch a copy of your resume t this application '-No:FE: Applications wili remain on file for a period of one (1) calendar year. , So \Jta.nY\ I na Name of Applicant (PL E PRINT) Received In City Clerk's Office <..-es 0 Name of Deputy Clerk Document Control Number (Assigned by the City Clerk's Office) Date Entered By Date Revised 1/25107 jo 2 !Slt"-t ~\~\\11 F:\CLER\SALL\B&C Applicatlon\B&C Application Revised m)1106 jakes.doc