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HomeMy WebLinkAbout03.A- Mayor's Office '3.A DOC ID: 4660 A CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Appointment From: R. Carey Davis M/CC Meeting Date: 10/03/2016 Prepared by: Evelyn Estrada, (909) 384- 5133 Dept: Mayor's Office Ward(s): Subject: Appointment of Ms. Imogene Body to the Senior Affairs Commission - Council Member Jim Mulvihill. Current Business Registration Certificate: Financial Impact: None Motion: Approve the appointment of Ms. Imogene Body to the Senior Affairs Commission as requested by Council Member Jim Mulvihill. Synopsis of Previous Council Action: Respectfully request that Ms. Imogene Body be considered for appointment to serve on the Senior Affairs Commission at the October 3, 2016 Council Meeting. Background: A copy of Ms. Body's application is attached for your review. Supporting Documents: Body - Cvr (PDF) Body_Redacted (PDF) I I Updated: 9/27/2016 by Georgeann "Gigi" Hanna A Packet Pg.9 CITY OF SAN BERNARDINO COUNCIL OFFICE INTEROFFICE MEMORANDUM TO: Mayor R. Carey Davis FROM: Council Office SUBJECT: Commission Appointment DATE: August 24,2016 COPIES: City Manager,City Clerk. N L a Request Ms. Imogene Body be considered for appointment to serve on the Senior Affairs o Commission(at the Council Meeting of October 3,2016). i A copy of Ms. Body's resume is attached for your information. o m i c m E r t= 0 4MV 1 LL a Council Member, Seventh Ward > U 0 JM:S1 m c attch. m E t U tB .r a Packet Pg. 10 3.A.B CITY OF SAN BERNARDINO APPLICA'-IO. `%> °-t%1'r( FOR APPOINTMENT TO BOARDS, COMMISSIONS AND Cp M T S 2016 AUG 2 l List,in order of preference,the committee(s) on which you wish to serve. d N S 3) 2) 2 Qti'C EQ �do 4) Named b E.`n e, Date of Birth: Home Address Cityag Zip: qW Q QVP h o n e: E-Mail 6 e)a D e e d 25,_zo, o Employer: 3 Cif / Occupation: f m I Address; `s1- City Zip: d o M1 Years lived worked in San Bernardino: ' Work Phone: ( ) c1 Educational background/degrees: L� // f ( ��rLo 0 ( �dn�� 0 I am�m not E] a registered voter. Ward: Y Marital Status: 0- • — Q Licenses or special certificates: CD ` .L �5�S. � s-G ate` "C. ��.W�r` i�%` T'L° ` ��C �' (J�1�-a 1�-'`�"'�`G Previous City of San Bernardino Commissions/Committees: From/To: as I a 0 Organizations to which you belong(professional,technical, community): 00 OcLe The information provided is factual to the best of my knowledge. I understand that I may be required to a 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 b�kept on file for a period of one(1)year. Return to: Gigi Hanna,City Clerk,300 N.I'D" Street, San Bernardino, CA 92418-0001 03!22!2012—Prepared by the City Clerk's Office Packet Pg. 11