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HomeMy WebLinkAbout02.D- Mayor's Office DOC ID: 2479 CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION Appointment From: Patrick J. Morris M/CC Meeting Date: 05/20/2013 Prepared by: Aviana Cerezo, (909) 384-5133 Dept: Mayor's Office Ward(s): All Subject: Reappointment of Dr. Milton Clark to the Board of Library Trustees - Mayor Patrick J. Morris (#2479) Current Business Registration Certificate: Not Applicable Financial Impact: Motion: Approve the reappointment of Dr. Milton Clark to the Board of Library Trustees as requested by Mayor Patrick J. Morris. Supporting Documents: Dr. Milton Clark (PDF) Updated: 5/14/2013 by Linda Sutherland P�cse Pg4$ Ajeagll jo paeo8 of)Ijelo uo;llW -aa to luawluloddeaa uolssiwwoa : 61tiZ) AJe13 uo;IlW 'aa :;luauayaet;d CITY OF SAN BERNARDINO APPLICATION 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) Library Board of Trustees 3) 2) 4) Name: Milton Clark Date of Birth: 04/29/1949 Home Address: City: San Bernardino Zip: 92404 Home Phone: Fax: ( ) E-Mail: Milton Clark sn.com Employer: CSU San Bernardino Occupation: Administrator Address: City: San Bernardino Zip: 92407 Years lived/worked in San Bernardino: 60&43 Work Phone: Educational background/degrees: B.A.,M.A. &Ph.D (all in English literature) I am X❑ am not❑ a registered voter. Ward: 7th Marital Status: single Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From/To: San Bernardino Public Library Board of Trustees Sept. 2005 to present Organizations to which you belong (professional,technical,community): 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. y&,� Le2u May 3,2013 Signature Date Note: Applications will be kept on file for a period of one(1)year. Return to: Georgeann "Gigi"Hanna,City Clerk,300 N. "D" Street,San Bernardino,CA 92418-0001 10/26/2001—Prepared by the City Clerk's Office