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HomeMy WebLinkAbout02.A- Mayor's Office 2.A DOC ID: 2552 CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION Appointment From: Patrick J. Morris M/CC Meeting Date: 07/01/2013 Prepared by: Aviana Cerezo, (909) 384-5133 Dept: Mayor's Office Ward(s): All Subject: Appointment of Kyle Knabe to the Parks and Recreation Commission - Mayor Patrick J. Morris (#2552) Current Business Registration Certificate: Not Applicable Financial Impact: Motion: Approve the appointment of Kyle Knabe to the Parks and Recreation Commission as requested by Mayor Patrick J. Morris Supporting Documents: Kyle Zane Knabe to Parks&Recreation Commission (PDF) Updated: 6/17/2013 by Linda Sutherland Packet Pg. 12 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). 2/G� I`i Cat s C OMm t SS a1 3) {s� 2) i�S /� W�iN I��rl I Name: ?4^4 /�C,►�.tie Date of Birth: �Q ,r Home Address: 7103 S., 6-a.br d 5 4 City: Sar, F� Zip: c/ 114 0q Home Phone: (-7)9)&140- -3 )-f0 Fax: ( } E-Mail: Employer: i a–d Coss ni_ Ton i Nsn aca. Occupation: Address: 'L1 0-3 5.... 6,L r-;J St City: S,.., Zip: R IXCF al Years lived/worked in San Bernardino: 2-�ee..rs Work Phone: Educational background/degrees: 0 c� I am ❑ am not Pki a registered voter. Ward: Marital Status: S �•� (e J s`� -�'�r•►vd it WA/ iRe Dr ;3QLo— ------ Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From/To: 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 City of San Bernardino and the State of California. S* ature 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 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) , Q/Q f'%on S am%#" I'S S 3) Name: 1� �Q ���c I�C.►�.ke Date of Birth: Home Address: City: 5.J1 errs/.�i�p Zip: r4 2 40 Home Phone: Fax: ( ) E-Mail: d C �. .1h or, H,, ,x T,,xP ocf:o.. Occupation: Ca^s+r.J o. A s.5:.5-. ,.'f _ Employer: an Address: 'L90-3 $,,., ��.r.j St City: So..- Zip: Years lived/worked in San Bernardino: 2- j(e&rs Work Phone: Educational background/degrees: r"J"� I am ❑ am not m a registered voter. Ward: Marital Status: S%A-1 (e- 73";S't t.r�+� 1$ w,'1I :�:54".r 1400 . ek4c Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From I To: 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 City of San Bernardino and the State of California. S* afore 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 10126/2001—Prepared by the City Clerk's Office