#1 Deede WWeithorn - Item R7B 12/14/201112 SUPPLEMENTAL ABSTENTION AND DISCLOSRE REQUIREMENT
DISCLOSURE MEMORANDUM
PURSUANT TO SEC. 2-458 (b), MIAMI BEACH CITY CODE
TYPE OF MEETING: C50`'n►"1 S s,
DATE OF MEETING:_ 1 I Ai it AGENDA ITEM#: Jl e
NAME OF PUBLIC OFFICER DISCLOSING: DC '( Le T�1�i
DISCLOSURE OF THE EXISTENCE OF ANY "FAMILY AND/OR BUSINESS
RELATIONSHIP" (as defined in attached Ordinance) OF WHICH THE PUBLIC
OFFICER IS AWARE, WITH ANY PERSON OR BUSINESS ENTITY WHO IS
DIRECTLY BENEFITED BY THE SUBJECT VOTE OF THE AGENCY ON
WHICH THE PUBLIC OFFICER SERVE_S:
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SIGNATURE OF PUBLIC OFFICER j
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DATE
This form should be filed within 15 days of the vote.
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