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0 MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION OR VOTE AT THE MEETING: <br />• You should disclose orally the nature of your conflict in the measure before participating. <br />• You should complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes <br />of the meeting, who should incorporate the form in the minutes. <br />DISCLOSURE OF STATE OFFICER'S INTEREST <br />0r <br />//2�� ,hereby disclose that on � / 19 <br />(a) A measure came or will come before my agency which (check one) <br />inured to my special private gain; or <br />/J <br />inured to the special gain of ►��C &-7 Z L , by whom I am retained. <br />(b) The measure before my agency and the nature of my interest in the measure is as follows: <br />�T /1�C :Fs7� iZ ; .� l+s A cit 4!l etz - <br />T <br />JZ4 Sr <br />-� <br />(CIAfe: <br />7rt � . <br />Date Filed Signature <br />`I' <br />NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §§112.317 (1985), A FAILURE TO MAKE ANY REQUIRED <br />DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: <br />IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN <br />SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000. <br />Attorney Vitunac advised there will be a slight modifica- <br />tion. We have to survey the land to make sure of the exact <br />acreage, and we will pay the price per acre according to the <br />survey; also, they reduced their price a little to make the deal. <br />ON MOTION by Commissioner Scurlock, SECONDED by Com- <br />missioner Bowman, Commissioner Bird abstaining, the <br />Board unanimously (4-0) approved purchase agreement <br />for the approximately 10 acre tract on the northwest <br />corner of Kings Highway and Hobart Road as recommended <br />by staff. <br />" <br />9 <br />199 6goo b F�t <br />� J <br />