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APPOINTED OFFICERS (continued) <br />: • A coryoi the 'one trust be provded immediately to One otmer members of :ha Igen:_:. <br />• -he Iprrn rnUSI ar, mad publicly at the ilex! 'reeling after the Farm is riled. <br />F vOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION g, c{ 'T BY DISCUSS:ON AT TPI w:EETIN <br />• Y_ mast disclose orai& the nature of your ca :iltc1 in the measure before vsrticipetng. <br />Y.t: must ;.omatete Cts form and ipc 1 wIthln 13 days atter the vote occurs with the peraar. responsible for recordng the minutes of the <br />Meeting. who must incorparalethe Iorm it the minutes. A copy of ids {orm must oc aravided _nmsdtatey to the other membered !he <br />DISCLOSURE OF LOCAL OFFICER'S INTEREST <br />1. '� f:fi �P tiy^a; Da i e hereby disclose that on July 1 , 2) fid_ <br />(a: A rncasurt: came or will eomc before my agencywhit (check one) <br />- !ruet: to my apec,e1 private gain or iots: <br />4.1 ;rxred t4 Ino sped& gain or leas of my business ess0041e, i a a T �--% <br />- inured to the s,.ecial gain et' Lose at my rctaliue. <br />Inured to the !special gain or Lass of by I <br />Sdi, ri tern rct6ifi d; flr <br />_ inured to the special gain or lessor , which <br />Is the parent organization oraubskftary d a prinppnl nhlch has re:elnect me. <br />¢t) The measure before my agency said the %slurs of my conflicting interest in the nteteure i3 a9 faltows: <br />Dat! Fly <br />tuly 1, 2C-14 <br />NOTICE UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TQ 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, FIECUOTIDN IN SALARY, FIEPRIMAND, OR A <br />CIVIL PENALTY NOT T4 EXCEED $10,004. ��— <br />OE FARM 8B • EFF. 1 /2000 <br />PACat 2 <br />Board of County Commission Minutes <br />July 1, 2014 <br />Page 16 <br />