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_ _ _ _ <br /> 3 <br /> At <br /> yAd A <br /> 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 thejorm 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 /> 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 <br /> the <br /> DISCLOSURE OF LOCAL OFFICER'S INTEREST <br /> Wesley S . Davis <br /> I , , hereby disclose that on May 14 , i 120 Tg_: <br /> (a) A measure came or will come before my agency which (check one) <br /> inured to my special private gain or loss; <br /> X inured to the special gain or loss of my business associate, Rick Baker . Associate Auctions ; <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 /> j <br /> At <br /> i I <br /> I <br /> May 14 , 2013 <br /> Date Filed Signature <br /> WesleySi 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 $ 101000. <br /> CE FORM 88 - EFF. 1 /2000 PAGE 2 <br />