HomeMy WebLinkAbout02B- Mayor's Office ORIGINAL
CITY OF SAN BERNARDINO-REQUEST FOR COUNCIL ACTION
From: Mayor Patrick J. Morris Subject: Approve the appointment of
Howard Grossman to the Measure `Z'
Dept: Mayor's Office Citizens Oversight Committee, per
Mayor Morris' request.
Date: October 28, 2010
Council Date: November 1, 2010
Synopsis of Previous Council Action:
Recommended Motion:
Approve the appointment of Howard Grossman to the Measure `Z' Citizens
Oversight Committee, per Mayor Morris' request.
nature
Contact person: Mayor Patrick J Morris Phone: 5133
Supporting data attached: Yes Ward: None
FUNDING REQUIREMENTS: Amount: -0-
Source: (Acct. No.) -0-
(Acct nPsrrirtion) -0-
Finance:
Council Notes:
Agenda Item No.
//-0 1 -Z616
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).
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Name: 1/6 t" ?_.�) C 0,55 1/,.Jr✓ Date of Birth:
Home Address: &5'1 1V d y1.Ja)_19 11CA,)Jt City: '54"V Zip:
Home Phone: ( °� �` � / Fax: ( ) —"' E-Mail: A1,ct"rC,)2? e-9 m,g ( n c-.4, c Al
Employer: /24 'T If2`7p Occupation: `
Address: City: Zip:
Years lived/worked in San Bernardino: Work Phone: ) -
Educational background/degrees: ?�5&° , In,-2 Lf-
I am P am not❑ a registered voter. Ward: 7 — Marital Status: Od k izl� b
Licenses or special certificates:
Previous City of San Bernardino Commissions/Committees: From/To:
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Organizations to which you belong(professional,technical, community):
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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 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: Applications will be kept on file for a period of one(1)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