HomeMy WebLinkAbout02.A- Mayor's Office DOC ID: 2611
CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
Appointment
From: Patrick J. Morris A4/CC 1VIeeting Date: 08/05/20!3
Prepared by: Aviana Cerezo, (909) 384-5133
Dept: Mayor's Office Ward(s): All
Subject:
Appointment of Mia N. Zamora-Johnson to the Board of Library Trustees - Mayor Patrick J.
Morris (42611)
Current Business Registration Certificate: Not Applicable
Financial Impact:
Motion: Approve the appointment of Mia N. Zamora-Johnson to the Board of Library
Trustees as requested by Mayor Patrick J. Morris.
Supportin! Documents:
Mia N. Zamora-Johnson (PDF)
i
Updated: 7/17/2013 by Linda Sutherland
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.
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1} �A 3)
2) q)
Name: MIA N. '2a W rR -Jet v► Date of Birth:
Home Address: City:S ��Zip. '92-+126
Home Phone: . Fax: SCo{.�• S Se-IA4
( ) E-Mail: Iq. tr�•
Employer: 1�
t , Occupation:
Address: City: Zip: iO�A,
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Years lived/worked in San Bernardino: . Work Phone: ( )
Educational background/degrees: e,6 01. d e--,*Yvm UOF, �A US
I am ❑ am not[ a registered voter. Ward: j Marital Status: 'Ar
Licenses or special certificates:
Previous City of San Be di o Commissions/Committees: From 1 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 the City of San Bernardino and the State of California.
Signature Date
Note: Application ill be kept on file for a period of one(1)year.
Return to: Gigi Hanna, City Clerk, 300 N. "D" Street, San Bernardino, CA 92418-0001
03(22/2012-Prepared by the City Clerk's(ice