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DOC ID: 1374
CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION
Appointment
From: Patrick J. Morris M/CC Meeting Date: 11/07/2011
Prepared by: Julie Frazier-Mathews, (909)
384-5133
Dept: Mayor's Office Ward(s): All
Subject:
Commission Appointment of Dena M. Peters to the Mobile Home Board (Neutral
Representative)
Financial Impact:
No Cost to the City
Motion: Approve appointment of Dena M. Peters to the Mobile Home Board (Neutral
Representative), as requested by Mayor Morris.
Synopsis of Previous Council Action:
None
BackLyround•
Request Dena M. Peters be considered for appointment to serve on the Mobile Home Board (at
the Council Meeting of November 7, 2011)
Supporting Documents:
Appointment of Dena M. Peters Mobile Home Board (PDF)
Updated: 11/3/2011 by Mayra Ochiqui
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CITY OF SAN BERNARDINO APPLICA-TION,.
FOR APPOINTMENT TO BOARDS, COMMISSJgNS AND COMMITTEES
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List, in order of preference,the committee(s)on which you wish to serve(see list on reverse side).
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Name: C"_. -' Date of Birth: �� 2
Home Address: , °
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Home Phone: ax: '?AO-1097 E-Mail: (`' i? , aom °0-
Employer: Occupation: 4
Address: 470 � , �4 O � o
City: p` 'nd Zip:? ��� o
Years lived/worked in San Bernardino: Work Phone: -
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I am am not[l a registered voter. Ward: - Marital Status: { Q
Licenses or special certificates: M
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Previous City of San Bernardino Commissions/Committees: From/To: m°
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Organizations to which you belong(professional, technical, community): o
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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, o
ordinances and regulations of the City of San Bernardino and the State of California. �-
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Note: Applications will be kept on file for a period of one (1)year. °-
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Return to: Rachel G. Clark,City Clerk,300 N. "D" Street, San Bernardino, CA 92418-0001 m
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