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Okaloosa County BOCC — May 3, 2016 — March 15 , 2016 Regular Meeting — reading text
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March 15 , 2016 Regular Meeting — extracted reading text
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inured to the special gain or loss of my relative, - - - - - - - - - - - - - - - - - - - - - - - - -
inured~ fue special gain or loss of_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ , by
whom I am retained ; or
inured to the special gain or loss of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , which
is the parent organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
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D•te Filed sjts--/t Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112 .317 , A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING : IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND , OR A
CIVIL PENAL TY NOT TO EXCEED $10,000.
CE FORM 8B - EFF. 1/2000 PAGE 2