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HomeMy WebLinkAbout06-Mayor's Office CITY OF SAN BERN/' 'qDINO - REQUEST F'"""R COUNCIL ACTION From: Mayor W. R. Holcomb Subject: Aopoi ntment of Glori a Macias Ha rri son to the Board of Library Trustees Dept: Mayor's Office Date: 2/16/90 Synopsis of Previous Council action: Recommended motion: Adopt recommendation of appointment. Contact person: Rilr.hf'l Krilsney Supporting data Ittached: Yes Phone: ext. 5203 Ward: FUNDING REQUIREMENTS: Amount: -0- Source: (ACCT. NO.) (ACCT. DESCRIPTION) Finance: Council Notel: 75-0262 Agenda Item No. .~ CITY o. lAX B~~IKO ..aIll ft\ \. \...". Appl1Qa~ion tor COft.14eration to~ APP01 to Ci~iJen co..i..iOft or C~itte.~taent per.cnal t)atl ~G lori{). n1t1t'.i;~ ~~ Home A44~e..: ~ b ::l. ~ ~4rt--D.a...~ Sf:.- ~ (' ~ ~~3.!:Ii:L Cate at Birtht ,- 1-/- 1.{2- TelephOfte. (7){) Naill. Have ~e.i4ed in the City ot San 8erftar41no .ina. Marital Statu.:;Y community Att11iatioft.. j1()~ ~ ~ r.~~~~m; fLMl)MllAilt~~ ~~ ~MArJ) ~C;iJ.J\M~~~. ~. ~4J .~~. ~ ~~'~& :ct(~SI J ~-~ ~~~ ~l.. \ 4.A-.~5~ e~Va/~c~/'. j Jt A- ~ "YYI\ ~Mj.AUJ~..,.x.r rt I'Ll~ ) ~w~ - ~ --. -.[7--" ~ ~ _~~J\dAoY\ ) ~ kb :ttJAhfY1 )~,s, ~&M1at~ ikll~(t;J ~ ) ;j.f.~..MU'} 'y')p~~ 1lAI1~ t'~ (1J;W\w' tJAVJ t1~~ ~i'&J-/'"I5 "I /9Jf2. C~~r.~~ !m~loymen~ Firm Nam.. A44r... : ~ ~ ~ ;:r; J I J tl J I~ dJ...u.d. Phonll (71'1) ~;~-//I{t) CtP-i ilk" ) ("A- 9.:2:5 .:(~ Pl.... Indicat. Wh.t Committ.../Commission. ~ou Are S.ekin; cQnsider- : atien Fer:~llAd ~ ,,,Jv,~ 1l'\~JAh"".A Have you ever ceen convicte4 of a felony? Y.'___ No-l( The intormation provi4ed is tactual to the be.t of my knowledqe. : ~na.r' stan4 that I will c. ~equireci to siqn a "Statement ot Economic Interuu" form a. require4 by law, and that I will abide by aU tha codes ar.d. Qrd.i- nanc.. ot the City ot San aernareSino an4 the Itate ot Calitornia. r~IJ/A ?;j, ~<nA~~ Sic;na ur. ~-I'I-?o Oatl