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HomeMy WebLinkAbout02-Mayor's Office ORIGINAL CITY OF SAN BERNARDINO-REQUEST FOR COUNCIL ACTION From: Mayor Patrick J. Morris Subject: Approve the appointment of Ms. Sandra Kurkoske to the Mobile Dept: Mayor's Office Home Board per Mayor Morris' request. Date: June 14, 2007 Council Date: July 2, 2007 Synopsis of Previous Council Action: Recommended Motion: Approve the appointment of Ms. Sandra Kurkoske to the Mobile Home Board per Mayor Morris' request. gnature Contact person: Mayor Patrick J Morris Phone: 5133 Supporting data attached: Ward: None FUNDING REQUIREMENTS: Amount: -0- Source: (Acct. No.) -0- Acct Description)-0- Finance: Council Notes: Agenda Item No. DA 7/;-Jt)rl 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). 1) 3) W s° 2) 4) Name: `� f� Date of Birth: Home Address: //7-7 A), 671,n City: C)%w � Zip: 9"Q l d Home Phone: (90) 38/=1617 Fax: E-Mail: Employer: _ li� �' Occupation: Address: % 7?1,y, Lf�n% '..o City: � �� Zip: Years lived/worked in San Bernardino: ��,�. ' Work Phone: Educational background/degrees: I am am not ❑ a registered voter. Ward: Marital Status: Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From/ To: / �.'L-CJ/yJ'[QiJ'c� ��'P/lL-G•°'�� ` � f�=J���'� r'f� %j Organization to which you belong ( rofessional, technical, mmunity): AaZzf ,r The information 'P rovided is fac ual to the best of my knowledge. I understand qhat 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 ORIGINAL CITY OF SAN BERNARDINO-REQUEST FOR COUNCIL ACTION From: Mayor Patrick J. Morris Subject: Approve the appointment of Mr. Steven Oquendo to the Mobile Dept: Mayor's Office Home Board as a member-at-large per Mayor Morris' request. Date: June 20, 2007 Council Date: July 2, 2007 Synopsis of Previous Council Action: Recommended Motion: Approve the appointment of Mr. Steven Oquendo to the Mobile Home Board as a member-at-large per Mayor Morris' request. Signature Contact person: Mayor Patrick J Morris Phone: 5133 Supporting data attached: Ward: None FUNDING REQUIREMENTS: Amount: -0- Source: (Acct. No.) -0- Acct Qescrirtion) -0- Finance: Council Notes: Agenda Item No. 7/,1/67 d I CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS A4b";i 0M'M' fWEES List, in order of preference, the committee(s) on which you wish to serve (seq list on reverse side). 1) -I/VL C) le, oil?z- ) 0 cm',�_ 12L . N�qte, Z I ' 2) Name: ei�, e„ Date of Birth: l 16y / 7 3 Home Address: ® G 3 �]�-( �. �e-��'�'�� City: t�+�, Lh�� zip: Ci),.?y6 Home Phone: (ctcxO g,,(,,Jf Fax: ( ) E-Mail: VV\ Employer: Occupation: �, �- Address: �➢, M . Vefr.,p.-.� City: Se-A Zip: [� Years lived/worked in San Bernardino: 3 - .r S Work Phone: Educational background/degrees: Q> ,,J �kS I am [-am not ❑ a registered voter. Ward: �� Marital Status: Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From/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. 1,2_1Z 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 P,,�_,,, � p , � Q