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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 vole 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 />Relative, Brian Davis, brother, owns a sand mine and may or may not benefit <br />from the decision. <br />1/07/08 <br />Date Filed <br />Signature Wesley S. Davis <br />NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE <br />CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, <br />REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A <br />CIVIL PENALTY NOT TO EXCEED $10,000. <br />CE FORM 813 . EFF. 1/2000 PAGE 2 <br />DISCLOSURE OF LOCAL OFFICER'S INTEREST <br />Wesley <br />S. <br />Davis <br />,hereby disclose that an January 7, 20 08 <br />(a) <br />A measure came or will <br />come before my agency which (check one) <br />inured <br />to my <br />special <br />private <br />gain or loss; <br />_ <br />inured <br />to the <br />special <br />gain or <br />loss of my business associate, <br />X <br />§ inured <br />to the <br />special <br />gain or <br />loss of my relative, hrnthpr Bri an Davi s <br />_ <br />inured <br />to the <br />special <br />gain or <br />loss of by <br />whom <br />I am retained; <br />or <br />inured <br />to the <br />special <br />gain or <br />loss of which <br />is the <br />parent <br />organization or <br />subsidiary of a principal which has retained me. <br />(b) <br />The measure before my <br />agency and the nature of my conflicting interest in the measure is as follows: <br />Relative, Brian Davis, brother, owns a sand mine and may or may not benefit <br />from the decision. <br />1/07/08 <br />Date Filed <br />Signature Wesley S. Davis <br />NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE <br />CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, <br />REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A <br />CIVIL PENALTY NOT TO EXCEED $10,000. <br />CE FORM 813 . EFF. 1/2000 PAGE 2 <br />