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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From:
Mayor Patrick J. Morris
Mayor's Office
Subject: Approve the appointment of
Martha L. Pinckney as an alternate
member to the Bicentennial Ad Hoc
Committee per Mayor Morris'
request
Dept:
Date:
April 2, 2009
Council Date: April 6. 2009
Synopsis of Previous Council Action:
Recommended Motion:
Approve the appointment of Martha L. Pinckney as an alternate member to the
Bicentennial Ad Hoc Committee per Mayor Morris' request.
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Contact person: M..ynr P..trir.k.1 Mnrri..
Phone:
"1~~
Supporting data attached:
FUNDING REQUIREMENTS: Amount: -0-
Ward:
None
Source: (Acct. No.) -0-
(A~~t n,::ll~~rirtinn) _n_
Finance:
Council Notes:
Agenda Item No. ~
4-l#-Ul
CITY OF SAN BERNARDINO APPLICATION ffl_V~. . .
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND CO~TTF... ES. 'Sli'lhK
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List, in order of preference, the committee(s) on which you wish to serve (see list on reverse side).
1) (}tt!et a~~,-". . 3) ,
2)
4)
Name: M..a..cJ ha L. p,.f1 C k Y1 e y Date of Birth:
Home Address: .:J'I~1 Croydon Sf. City: f..I"gh/Q(}rlZiP:q1.3~t.
Home Phone: {ftllJ rU.J.7'Qf/Fax: WtJ0 ~1.l'7I.(n E-Mail: rYlr:l\,+hCL \'--~ e; p.qt"'thl;'II~
net
Employer: f?,.l/rtxl frDm 5 BCuso Occupation:
Address: '1'" '7 Il~.. F .s+ 1~F'1"'. + S R City: Zip:
Years lived/worked in San Bernardino: 60 Work Phone: ( ) AI a
. c~11 y'{)q. 7~4 3511
Educational background/degrees: ~a""~,,..<;. / I qVt'r",.,. L(",". .
I -
lamlXl am not 0 a registered voter. Ward: I{ Marital Status: /YJorrlrrl
Licenses or special certificates:
Previous City of San Bernardino Commissions/Committees:
From / To:
Organizations to which you belong (professional, technical, community):
The info on provided s factual to the best r my kriowl ge. I d d 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 o{ the ity of San Bernardino and the State of California.
3/oJ IJ 7
Date ' ,
Note: Applications will be kept on file for a period of one (1) year.
Return to: Rachel G. Clark, City Clerk, 300 N. "D" Street, San Bernardino, CA ~2"18..oo01
10/261200 I - Prepared by the City Clerk.s Office