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HomeMy WebLinkAbout02B-Mayor's Office CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Mayor Judith Valles Subject: Approve the appointment of Ms. Bobbie J. Johnson to the Senior Affairs Commission, per Councilwoman Estrada's request. ORiGiNAL Dept: Mayor's Office Date: March 1, 2004 Council Date: March 15. 2004 Synopsis of Previous Council Action: Recommended Motion: Approve the appointment of Ms. Bobbie J. Johnson to the Senior Affairs Commission, per Councilwoman Estrada's request. rt~(~~ (j Signature Contact person: M"ynr .llIrlith V"II",.. Phone: !\1:l:l Supporting data attached: Ward: 1st FUNDING REQUIREMENTS: Amount: -0- Source: (Acct. No.) -0- (Arrt npc::rrirtinn) _n_ Finance: Council Notes: Agenda Item No. ~E J//S/Or CITY OF SAN BERNARDINO INTEROFFICE MEMORANDUM TO: Mayor Judith Valles FROM: Council Office SUBJECT: Commission Appointment DATE: March 1,2004 COPIES: City Administrator; City Clerk ---------------------------------------------------------------------- ---------------------------------------------------------------------- Request Ms. Bobbie J. Johnson be considered for appointment to serve on the Senior Affairs Commission (at Council Meeting of March 15,2004). A copy of Ms. Johnson's resume is attached for your information. ~~~ ESTHER R. ESTRADA Councilwoman, First Ward ERE:s! attch. CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES List, in order of preference, the commillee(s) on which you wish to serve (see list on reverse side). 1) Senior Affairs Commission 3) 4) 2) . Name: eli i,.f c <. / Home Address: /7 'i t/ it Home Phone: C9t'~ 3.7/- c'5(jFax: ( ) ..i$~;t~,:: d-F) ( II/-: Date of Birth: //I( ;36- I cf. CitY:'->~t( Ace! _i t. ,Iii,: E-Mail: Occupation: .4..6";: i.-.. ;1 c2 (/// Employer: Address: City: Zip: Years lived/worked in San Bernardino: ,Lj 9 LfA.(!. Work Phone: ( ) J :I Educational baCkground/degrees: 11.:/, ,;{;~~/,)<{j A Ii,/;" "hLLL I = .,(." ""( 0 'reg;'""", "to,. .:"', /d f ~w S"treJ~?L Licenses or special certificates: (;)2~"f-/lRL ) , / ,r A.t.,-,J:!~-?"t .t~?~'Z( Previous City of San Bernardino Commissions/Committees: c z'/;//. /Zc....eci<.tl:.' l'Zit.:e'.. (}.~/h L ic' -{'iG-A; .LAC) Organizations to whicli you belong (p fessional, technical, community): (l..{t~/~t;.:, f!(k#~ '--fl<,:/ C~/u:e<,- / The information provided is factual to the best of my knowledge. I understand that I may be required to complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, ordinances and regulations of the City of San Bernardino and the State of California. .,Ki1-1ll<.LC/-;!,?f-!/f-.,Lf/L. ~ / ;J ~ L( Signature ,/ ' Date