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Fort Walton Beach Council minutes — 09-15-09 special minutes — reading text
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AT WHICH THE VOTE WILL BE
TAKEN:
You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. ( Continued on other side)
APPOINTED OFFICERS ( continued)
A copy of the form must be provided immediately to the other members of the agency.
The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
You must disclose orally the nature of your conflict in the measure before participating.
You must complete the form and fife it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form In the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER' S INTEREST
1, Bill Garvie , hereby disclose that on September 15 , 20 09
a) A measure came or will come before my agency which (check one)
X inured to my special private gain or loss;
inured to the special gain or loss of my business associate, --
inured to the special gain or loss of my relative,
inured to the special gain or loss of —, by
whom I am retained; or
which
inured to the special gain or loss of .
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:
Motion to amend the Code on hours of Sunday alcohol sales.
Have a conflict of interest because of a financial interest and abstained
from the vote.
j - 67 9
Date Filed 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 PENALTY NOT TO EXCEED $ 10,000.
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