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DOC ID: 3286 A
CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
Appointment
From: R. Carey Davis M/CC Meeting Date: 06/02/2014
Prepared by: Evelyn Estrada, (909) 384-5133
Dept: Mayor's Office Ward(s): 5
Subject:
Appointment of Ken Sousa to the Board of Fire Commissioners - Council Member Henry Nickel
(#3286)
Current Business Registration Certificate: Not Applicable
Financial Impact:
None.
Motion: Approve the appointment of Ken Sousa to the Board of Fire Commissioners as
requested b Council Member Henry ckel.
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Synopsis of Previous Council Action:
Request that Mr. Ken Sousa be considered for appointment to serve on the Board of Fire
Commission at the June 2, 2014 Council Meeting.
A Copy of the resume for Mr. Sousa will follow.
Background:
None.
Supporting Documents:
Sousa (PDF)
Updated: 5/28/2014 by Linda Sutherland A Packet Pg. 8
CITY OF SAN BERNARDINO
INTEROFFICE MEMORANDUM
TO: Mayor R. Carey Davis
FROM: Council Office
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SUBJECT: Committee Appointment O—
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DATE: May 28, 2014 0
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COPIES: City Manager, City Clerk U-
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Request Mr. Ken Sousa be considered for appointment to serve on the Board M
of Fire Commission (at the Council Meeting of June 2, 2014). Q
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A copy of the resume for Mr. Sousa will follow shortly. o
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HEN NICKEL
Council Member, Fifth Ward a
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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.
1) Fire Commission 3)
2) 4)
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Name: Ken Sousa
Date of Birth: o
Home Address: City:San Bernardino Zip: 92407 � A
Home Phone: E
( ) E-Mail: kasousa@verizon.net o
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Employer: State Hospitals, Patton Occupation: Police Sergeant
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Address: 3102 E. Highland Ave . City: Patton Zip: 92369 $
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Years lived/worked in San Bernardino: Life Work Phone; 90 X25-7000 m°
California State University, San Bernardino s
Educational background/degrees:Master of Arts degree in Administration of Jus e o
Paralegal. Studies and Education
I am X❑ am not[]a registered voter. Ward: Five Marital Status: n
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C� Licenses or special certificates: c
Advanced Peace Officer Standards of Training Certificate,
Numerous other certificates. c
Previous City of San Bernardino Commissions/Committees; From!To: _
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Police Commission 2010 2014
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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 N
complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes,
ordinances and regulati ns of the City of San Bernardino and the State of California. E
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May 20, 2014 Y
Signature Date a
Note: Applications will 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 Office
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