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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From:
Mayor Patrick Morris
Subject: Approve the appointment of
Lloyd Roberts to the Civil Service
Board per Mayor Morris' request.
Dept:
Mayor's Office
Date: January 3, 2011
Council Date: January 10, 2011
Synopsis of Previous Council Action:
Recommended Motion:
Approve the appointment of Lloyd Roberts to the Civil Service Board, per Mayor
Morris' request.
~~
Sig ature
Contact person: M~ynr p::atrick Morris
Phone:
51~3
Supporting data attached: Yes Ward:
FUNDING REQUIREMENTS: Amount: -0-
Source: (Acct. No.) -0-
(Acct nE'scription) -0-
Finance:
Council Notes:
Agenda Item No. 2- .
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CITY OF SAN BERNARDINO APPLICATION V \'V\1/
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES
List, in order of preference, the committee(s) on which you wish to serve (see list on reverse side).
1) 0 i.'~.J-1 5e.rv;c~ C,>mttJ,~.r:.):'n 3)
2) 4)
Name: jA/-!1P Llovd A?o.J,~/""f~.
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Home Address: 7CftF- A/6c;.J; l~bJ.rcl
Home Phone: (~) $ti:.;<6R5 Fax: ( )
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Date of Birth: j 12..~9'2,6
City:Sq.. Be;..n:Yd~ip: f'Z~D~
E-Mail: b~j-cloll/d~Qol.c6.Fr.
Occupation:
-
Employer:
Address:
-
-
City:
-
Zip:
Years lived/worked in San Bernardino: '70 Work Phone: ( ) -
Educational background/degrees: -MA... UiJ.:V CA Be~d~y; M ~;~.sl/:: A~VC
I am f2g am not D a registered voter. Ward: "7 fl.a Marital Status: -W;~~e;-
T .icenses or special certificates:
Previous City of San Bernardino Commissions/Committees:
From / To:
R"- ~. ~
. UL~ i'Jt!lI..s.sfon
Organizations to which you belong (professional, technical, community):
hBS,Ahr?h Efld'Nebhb'-"1rl,~;ad As_~n..
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.
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Signature
1~6/2.0/0
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 92418-0001
~61200l - Prepared by the City Clerk's Office