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<br />98 <br />Page 5 <br /> <br /> <br />PLEASE LIST THREE PERSONAL AND/OR PRO~SIO~~~S: <br /> <br />c...a.-'i'de- Mn.JV\ ~ (I~reR~.&;ckDvo 1 feST) ~"\;-~l51 <br />Name J s ~ q~f:,oecUP."t hone <br />5 ~ '$0 8- ~~ <br />Addressp{edLUOOa. ~~ti~ t b~ ~ Phone. <br />R,!)$ l1:tfk f1iX'.. I ~ S:-D - .3~ - II ~ ~ <br />~"tb.Th.l,k q"tt~~on hone <br /> <br />\. <br />. r-'l e, <br />e. \f \f' d...V\ c\:o <br />WG \ ~.QV' <br /> <br />,jU~ <br />Name . <br /> <br />I understand that this. application is a public document and its contents will be disclosed upon request, and any <br />misrepresentation or deliberate omission of a material fact in this application may be justification for refusal or <br />termination of appointment. I also authorize persons knowledgeable of the information stated herein to give any <br />additional information regarding my qualifications and character. I hereby release said persons from any liability <br />for any damages whatsoever for issuing this information. <br /> <br />'le~~u?~G >~W!'- () ~ -l ~;.;Pb <br /> <br /> <br />The Political Reform Act of 1974 requires all government agencies to adopt a Conflict of Interest Code which <br />designates the positions within. an agency which make or participate in making governmental decisions which <br />may forseeably have a material effect on any financial interest. Members of Redwood City boards, corrunittees <br />and commissions, by virtue of their positions, make or participate in making decisions which may affect their <br />financial interests and who therefore must disclose these interests on the Fair Political Practices Commission <br />Form 700 - Statement of Economic Interests of Designated Employees. The Form 700 is a public document <br />and its contents will be disclosed. upon request. <br /> <br />Please mail or deliver your application to the City Clerk Department, 1017 Middlefield Road, Redwood City <br />CA 94064 or fax to 650-261-9102. If you downloaded this application. you may e-mail the completed <br />application to phowe@redwoodcity.org. Deadline for applications is 5:00 p.m., Friday, March 17,2006. <br /> <br />How gid you hear about this year's recruitment: <br />~spaper <br />~y.tility bill insert <br />Ycity web site . <br />- . <br />friend <br />_ neighborhood newsletter <br />other <br /> <br />2006 <br />