34 Simon Cruz 7/7/99 R5B
/'-51f - 7 7 J1.
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
COu~TY
N,\,..tE 01- HOARD. COU~('II.. c:OM..'ISSIQ,.... AUl HORlTY, OR CO."lMlnEE
rt\ ~A-J.t.:'" l>e.o....L ~ c.; TiDe.... .s; St
I HE HO,\RU. COUNCIl.. CQ.\1.\tl:iSIDN. AL;l HORln OR COMMITTEE ON
WHICH I SERVE IS A tJ~IT OF
)( CIlY 0 COUNTY Q OlHER lOCAL ACE:'\iCY
:"i,\.\IE OF por lTICAL .sUl::lO!\ ISIO,....:
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1M It: 0-' \~ HICH \01 E o<..'('t RRF.U
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,\1 Y POSITION IS:
El.ECTIVE C APPQI:\TJ\iE.
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, city, or other Ioeallevel 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
\....irh a voting connier of inrerest under Section 112.3143, Florida Statutes.
Your, .:sponsibilities under the law when faced with a measure in which you htive a.conflict of interest wiII vary gready depending
on \vhe[her you hold an elective or appoimive position. For [hiS' reason, please pay close atremion to the instructions on this form
before completing che reverse side and filin~ th'e form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective coumy. municipal. or ocher local public office MUST ABSTAIN from vocing on a measure which inures
[0 his special privare gain; Each local officer also is prohibited from knowingly voting on a measure which inures to the special
g_ain of a principal (other than a government agency) by whom he is retained.
In eicher case. you should disclose che connicr:
PRIOR TO THE VOTE BEING TAKEN by publicly stacing to che assembly the nature of your imeresc in the measure on
v,;hich you are absraining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS ~y cumpleting and filing chis form with the person responsible for recording
the minuces of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
A person holding appoincive coumy, municipal. or other local public office MUST ABSTAIN from vocing on a measure which
inures [Q his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures [Q the
special gain of a principal (other than a government agency) by whom he is retained.
.-\ person holding an appointive local office otherwise may panicipate in a matter in which he has a conflict of interest, but ,must
disclose the nature of the cannier before making any attempt [Q innuence the decision by orJI or written communication, whether
:nade by (he officer or a( his direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WIll BE TAKEN:
. You should complete and file this form (before making any attempc co innuence the decision) wich the pe~,so ible for
recording the minutes of the meeting, who will incorporate the form in the minutes.
. A copy of the form should be provided immediately co che other members of the agency, 3
. The form should be read publicly at the me~ting prior to consideration of the' matter in which you have a con Ict of interest.
OR\!:iB - !-Ql
p.,)"GE [
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connict in the measure before participating.. . .
, , .' . .' .
',' You should comp!ete the form and file it within 15 d;'~s'aft~r the vote occurs with the person responsible for recording the minutes
. of the meeting. who should incorporate the form in the minutes,
I.
I,
f) DISCLOSURE OF LOCAL OffiCER'S INTEREST
S'I,l{DU L ~I,,)L ,hereby disclose that on 7. I
. .
.
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(a) A measure came or will come before my agency which (check one)
_ inured to my sp~cial private gain: or
_ inured to the special gain of
, by whom I am retained,
(b) The measure before my agency and the nature of my interest in the measure is as follows:
:r: re~...e:~C201r
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CA
lo\ dl4'~y'"e.V\.t ~r6Je c..r ']t-..
~e.rlL4~ ~'~VL:e..t'c......,
o~ '" er
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te Filed
TlCE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (l985), A FAILURE TO MAKE ANY REQUIRED
CLOSURE CONSTITUTES GROUNDS FOR AND MAY BE 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 $5,000,
11(8.1-9/
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