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Fort Walton Beach Council minutes — 10-27-09 regular minutes — reading text
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loss of my relative,
inured to the 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:
Ord. 1796 amending hours for Sunday alcohol sales
Conflict of interest because I own a Bed and Breakfast and am partial owner of
Staff' s Restaurant.
Z
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.
CE FORM 8B - EFF. 112000 PAGE 2
