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ORIGINAL
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From:
Mayor Patrick J. Morris
Subject: Approve the appointment of
Martha L. Pinckney as an alternate
member to the Bicentennial Ad Hoc
Committee per Mayor Morris'
request.
Dept:
Mayor's Office
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.
u~.":',
S' nature
Contact person: M"'ynr P",tri"k.1 Mnrri..
Phone:
!'i1~~
Supporting data attached:
Ward:
None
FUNDING REQUIREMENTS: Amount: -0-
Source: (Acct. No.) -0-
(A""t n""Nirtinn) _0_
Finance:
Council Notes:
Agenda Item No.
2/\
4-~-01
CITY OF SAN BERNARDINO APPLICA nON ffftE/VEe....crr
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND CO"'llffS · Y ftl:.I!f(f(
PH J: I'
List, in order of preference, the committee(s) on which you wish to serve (see list on reverse side).
(}airL a~l1ef
I)
2)
3)
4)
Name:
MaLl ha
Home Address: J Ii 2..1
L. PI f1 C KYle \,/
C . J
loydon .5+.
Home Phone: {'ftJiJ 5( "::J.7,q~Fax: Wt?0 ){/,1'71f.5't
Employer: t1f'.f,re.dF-rorn S/3CUSD
Address: 7'1 '7 Il~. F s+ n'~e -+ s g
Date of Birth:
City: /-1/9 h /IM rI Zip:
E-Mail: rYl (l\~+ h CL \ P-.~
CjJ..3L(~
@ PO ,-.+h);rlh
net
Occupation:
City:
Zip:
Years lived/worked in San Bernardino: 60 Work Phone: ( ) 1\/ r.+
Educational background/degrees: l\J\a""~(',,, / I q'jn.....~~..lI~~q. 76""4'3511
F
I am IXI am not 0 a registered voter. Ward: If Marital Status: /YJ or r I r r(
Licenses or special certificates:
Previous City of San Bernardino Commissions/Committees:
From / To:
Organizations to which you belong (professional, technical, community):
The informa on provided s factual to the best f my kriowleage. I ders 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.
3/0-1 tJ 7
Date ' I
Note: Applications will be kept on file for a period of one (I) year.
Return to: Rachel G. Clark, City Clerk, 300 N. "D" Street, San Bernardino, CA 92418-0001
10/26/2001 - Prepared by the City Clerk's Office