Barbara Patchen 12/31/07
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEL: 1305) 673.7411, FAX: (305) 673.7254
03/22/2007
Barbara Patchen
2068 N Bay Road
Miami Beach, Florida 33140
~-'U "'"
~~JEG.T;, Personnel Board
Congratulations! You have been appointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2007.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
S~reIY.
~r\j\~/VJvo-J--A~
Robert Parcher fO P..
City Clerk
cc: Saul Frances, Parking Director
Mayra Buttacavoli
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, 2-2458, 2-459
Ordinance 2006-3543 - Amendment to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We ore committed to providing excellent public service and saFety to 011 who live, work, ond ploy in our vibrant, tropical, historic community
-
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.....
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEL: (3051673.7411, FAX: (3051 673.7254
TO Barbara Patchen
RE: Personnel Board
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: 12/31/2007.
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 d,
Sworn to and subscribed before me thi
, 200_1
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements,
We are cammitted to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community
CITY OF MIAMI BEACH
BOARDS AND COMMITTEE APPLICATION FORM
B r;
First Name Middle Initial
&u (!r{ m/Ii/IJ/ &o~HJ FI3,-3/!JO
Str~ ( City /State Zip Code
.:LtJ f1/G 1~().553y-//g~ Skuna:!33'l(2
Work Fax. Em~reSSYf)!lOO. Q~(f)
Pos;l;on fJE{/~rA1 j:liJl!I fIrm1;r'
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MIAMI BEACH
J
NAME:
Last Name
HOME ADDRESS: c:; ~ g
No.
PHONE: 305 6 3S - /1rJ. 0
Home
Business Name:
Address:
No.
State Zip Code
Professional License (describe)
~ / Street
/J E "Srfl7e.
. .
City
Expires:
Attacfl a copy of the license
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 minimum of six months in a business established in the city.
. Resident of Miami Beach for a minimum of six (6) months: Ye~r No 0
. Demonstrate an ownersh;pt;nterest in a busine~Miami Beach for a minimum of six (6) months: Ves 0 or N~
. Are you a registered voter in Miami Beach: Ye~r No 0
. (Please check one): I am now a resident of: North Beach 0 South Beach 0 Middle Beacf
. 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)
o 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 Debarment Committee
o Design Review Board*
o Disability Access Committee
o Fine Arts Board
o Golf Advisory Committee
< 0 Health AdvisoryCommittee
... 0 f:lealth Facilities Authority Board
o Hispanic Affairs Committee
o Historic Preservation Board*
* Board Required to File State Disclosure form
';
,
o Housing Authority*
o Loan Review Committee*
o Marine Authority*
o Miami Beach Cultural Arts Council
o 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
Dj'arks and Recreation Facilities Board
)5-Personnel Board*
o Planning Board*
o Police Citizens Relations Committee
o Production Industry Council
o Public Safety Advisory Co.rnmittee
o Safety Committee
t]O)Tr~nsportatior: a'ld. Par~i9~,Committee
o Visitor and'~onfentiOti. .A:utliority*
o Youth Center Advisory Board
F:ICLERI$ALL\B&C ApplicationlB&C Application Revised 091106 jakes.doc