HomeMy WebLinkAbout02.B- Mayor's Office DOC ID: 2245
® CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
Appointment
From: Patrick J. Morris M/CC Meeting Date: 01/22/2013
Prepared by: Raymond Lomeli, (909) 384-
5133
Dept: Mayor's Office Ward(s): 3
Subject:
Appointment of Sandra Kurkoske to the Senior Affairs Commission - Council Member John
Valdivia
Financial Impact:
N/A
Motion: Approve the appointment of Sandra Kurkoske to the Senior Affairs Commission
as requested by Council Member John Valdivia.
Synopsis of Previous Council Action:
N/A
Background:
N/A
Supporting Documents:
Commission Appointment of Sandra Kurkoske to Senior Affairs Commission (PDF)
Updated: 1/17/2013 by Linda Sutherland
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CITY OF SAN BERNARDINO o
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INTEROFFICE MEMORANDUM N
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TO: Mayor Patrick J. Morris x
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FROM: Council Office
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SUBJECT: Committee Appointment d
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DATE: January 16, 2013
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COPIES: City Manager, City Clerk
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Request Mrs. Sandra Kurkoske be considered for appointment to serve on y
the Senior Affairs Commission (at the Council Meeting of January 22, 2013). E
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A copy of the resume for Mrs. Kurkoske is attached for your information.
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JOHN A. VALDIVIA, II Y
Council Member, Third Ward Y
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Attachment (1) E
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Packet Pg.15
CITY OF SAN BERNARDINO APPLICATION
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES
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List, in order of preference, the committee(s)on which you wish to serve (see list on reverse side). Y
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Name: "j 4 AIDr./� >%_ 7<6(,P_ eQSrC g Date of Birth: /,�l �/,;2 �j 9c�T_ o
Home Address: //�JO, 6��C �; L L 7�,� City: Se�jl/ Q� Zip: E
Home Phone: (f�IpT� 321�1�11 Fax: ( ) T E-Mail: ��6f /�/K/��7(� (J�'60"? a
Employer: - ,TA Occupation: CL�
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Address: //77N, pRl�/z S.S City: �ES-� zip: c//, N
Years lived/worked in San Bernardino: %L r Work Phone: o
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Educational background/degrees: c�A� ��_� E
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1 am h am not❑ a registered voter. Ward: j Marital Status: yf) � �¢� o
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Licenses or special certificates: �
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Previous City of San Bernardino Comm yissions/Committees: From/To: rn
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Organizations to which you belong(professional,technical, community): Y
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The information provided is factual to the best of my knowledge. I understand that I may be required to °
complete a Statement of Economic hiterests Form as required by law, and that 1 will abide by all the codes,
ordinances and regulations of the City of San Bernardino and the State of California. E
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Signature Date r
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Note: Applications will be kept on file for a period of one(1) year. w
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Return to: Rachel G. Clark,City Clerk,300 N. °'D"Street, San Bernardino,CA 92418-0001 v
10/26/2001—Prepared by the City Clerk's Office y
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Packet,Pg. 16
A Commission Appointment
s hereby conferred upon
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Sandra
by the Common Council
of - City of • n Bernardino
to serve as i member I the
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SENIOR AFFAIRS COMMISSION
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and received the oath of officeftom
the City Clerk
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on day of /
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JO(HN A. VALDIWA 11 1
Council Member, Third Ward
City 4.... Clerk / / Bernardino
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