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Appointment
City of San Bernardino 2
Request for Council Action
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Date: June 7, 2017 t
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To: Honorable City Council Members LL
From: Mayor R. Carey Davis c
By: Council Member Benito Barrios
Subject: Commission Appointment
Recommendation =
Respectfully request that Ms. Sandra Ibarra be considered for appointment to serve on c
the Fine Arts Commission.
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Background _
Ms. Sandra Ibarra has submitted an application for appointment to serve on the Fine a
® Arts Commission. A copy of Ms. ibarra's application is attached. a
Conclusion
Approve the appointment of Ms. Sandra Ibarra to the Fine Arts Commission.
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Fiscal Impact a
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None
Attachments
Attachment 1 — Commission Application
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CITY OF SAN BERNARDINO APPLICATION
FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMNNT'I S
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List, in order of preference,the committee(s) on which you wish to serve. N
1) F(Kk ( Cb-�ktSsylj 3) tWD bl_ 0
2) (V 1A*F 4) bWkFlu 6F SRAPClti�fS
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Name: Date of Birth: �� a'� 1� `4)
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Home Address: City: cjAN 9 MAO)(Aip: Jp 9W_
Home Phone: Fax: ( ) E-Mail:
Employer: _ ►"�71 _ Occupation: R(Ieo C� t�°Pdk7` C O&D.
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Address: D City: �J�j Zip: CD D vn
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Years lived/worked in San Bernardino: `j��iS Work Phone:
Educational background/degrees: BR TVJD 1 U.C. L,,6
I am t, am not❑ a registered voter. Ward: . Marital Status: S N a
Licenses or special certificates:
Previous City of San Bernardino Commissions/Committees: From/To: z
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Organizations to which you belong(professional, technical,community): Q
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The information provided is factual to the best of my knowledge. I understand that I may be required to E
complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, c
ordinanc a 1d re stations of the City of San Bernardino and the State of California. a
Signature Date N
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Note: Applications will be kept on file for a period of one(1)year. E
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Return to: Gigi Hanna,City Clerk,300 N. "D" Street, San Bernardino,CA 92418-0001
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03/22/2012-Prepared by the City Clerk's Office v
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