HomeMy WebLinkAbout02-Mayor's Office
,
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From:
Mayor Judith Valles
Subject: Approve the appointment of
Manuel Moreno, Jr. to the Civil
Service Board per Mayor Judith
Valles request.
Dept:
Mayor's Office
Date: April 29, 2003
ORIGiNAL
Council Date: Mav 5. 2003
Synopsis of Previous Council Action:
Recommended Motion:
Approve the appointment of Manuel Moreno, Jr. to the Civil Service Board, per
Mayor Judith Valles' request. Mr. Moreno, Jr., is replacing Commissioner Ruth
Petrucci who's term expires May 2003.
~~~)
Signature
Contact person: M"ynr .....-1ith V"II"",
Phone:
!i1='l='l
Supporting data attached:
Ward:
FUNDING REQUIREMENTS:
Amount: -0-
Source: (Aeet. No.) -0-
(Arrt n~:IoC~r.rirtinn) _n_
Finance:
Council Notes:
S/<S!03
::2/1
.
..
-
~
CITY OF SAN BERNARDINO APPLICATION
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES
List. in oruer of preference. the comminec(s) on which you wish to serve (see list un reverse side).
1)
2)
(I ( L! (?2Efl//('(.( ];0 11/Z n
3)
4)
Name: )11lJt1IaE/.> fY /l1ol!Em ;:J(t
Home Ad,b'ess; /d.:30.. cd. r.2 td s /-- .
Home Phone: 'ffCf1) 9i2~1 Fax:.J )
Employer: ~eI/)UD _ C!/1Zj,:5:E. s.li.
Address:
Date of Birth: S- ~:< - 3 5-
_ City:..fI?,lIil)/AI-JeML.. Zip: ,'1;2<j'oS- _
E-Mail:
Occupation:
City: _ '
W(lrk Phone: (
Zip:
Years liv(:dlworked in San Bernardino:
~_ ytS.
J) Il ) kC !,!CC
Ward: ~ ,Alp
)
Educational background/degmes:
I an~ am not 0 a rcgistered voter,
Licenses or special certificates:
Marital Stalus:
/I}j /J,f f/ OJ,
-PreviOUS City urSan Bernardino comniissi~nslCommiUecs: From I To:
O~g";;izations to ~hich you belong (professional. technical. eomniunilY):'
M/G./f'/5 Z;(' (!o"L!lIYIBLI..~ __ A/ilf/l/G ~OAfS,AfYI[/n'iltJ 1..6C;/o';
The inromlation provided is factual to Ihe best of my knowledge, I understand thaI I may be rcquin:d to
complete a Statement or Economic Interests Form as required by law, and that I will abide by all the codes.
ordmances and regulaliuns of the Cily of San Bernardino and the State of California. ~
/7l1~ ;D~,~ _ ;J __ /~~20 J
Signature ---r:- ~
Note: Applicalions will be kepI on file for a period of one (J) year.
Return to: Raebel (;. Clark. City Uerk, 300 N. "D" Street. SlIn BernardiDo. CA 92418-0001
lOJl612W 1 l'n;p;llC\1 h-v ,he CiTy {"Il...rk'~ orii~-c