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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 <br /> 0f 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 /> agency, and the form must be& read publicly at the next meeting after the form is filed . <br /> DISCLOSURE OF LOCAL OFFICER'S INTEREST <br /> R . nervi a , hereby disclose that on ��r„- Z � Q. 20 1 <br /> (a) A measure came or will come before my agency which (check one) <br /> inured to my special private gain ,or loss; <br /> mmyinured to the special gain or loss of my business associate , Rick rk n� �oY ARan� ; at p A„rJ7 onS <br /> inured to the special gain or loss of my relative , <br /> inured to the special gain or loss of by <br /> whom I am retained; or <br /> inured to the special gain or loss of which <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 /> FAhri ,a�, i� , 2ni3 . <br /> Date Filed 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 $ 100000 . <br /> CE FORM 8B - EFF. 112000 PAGE 2 <br />