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APPOINTED OFFICERS (continued) <br />• A copy of the form must be provided immediately to the other members of the agency. <br />• The form must be read publicly at the next meeting after the form is filed. <br />IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: <br />• You must disclose orally the nature of your conflict in the measure before participating. <br />• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the <br />meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the <br />DISCLOSURE OF LOCAL OFFICER'S INTEREST <br />Wesley S. Davis June 17 20 08 <br />I ,hereby disclose that on <br />(a) A measure came or will come before my agency which (check one) <br />_ inured to my special private gain or loss; <br />_ inured to the special gain or loss of my business associate, <br />inured to the special gain or loss of my relative, brother Brian Davis <br />X- , by <br />inured to the special gain or loss of <br />whom I am retained; or - , which <br />_ inured to the special gain or loss of <br />is the parent organization or subsidiary of a principal which has retained me. <br />(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows: <br />Relative, Brian <br />benefit from the <br />6/17/08 <br />Data Filed <br />Davis, brother, owns a sand mine and may or may not <br />decision. <br />....s Inc <br />LURE TO MAKE ANY REUIL1111W ulOv""'we "IIII' <br />NOTICE: UNDER PROVISIONS OF FLORIDADBETPUNISHED BY ONE ORTUTES §1 12.,317j A MORE OF THE FOLLOWING: MPEACHMENT, <br />CONSTITUTES GROUNDS FOR AN REPRIMAND, OR A <br />REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, <br />..,..TT,-, cvnCcn 4t,n nnn_ <br />PAGE 2 <br />CE FORM 813 - EFF, 1/2000 <br />