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�� c ''��m L,E 1�L�� � 10.D. - Page 3 <br /> '�` , �, °-�-_ o� cA�.�F o�r�t� CiT`lf: <br /> �;��:�y`'=�,��..- <br /> � �...._�_�._� � � � � � � <br /> 2012 ANNUAL CONFERENCE <br /> VOTING DELEGATE/ALTERI\'ATE FORM <br /> Please catrEplete this form and return it to the League office by Wednesday, Au�e�s� 15, <br /> 2012. Forms not sent by ti�is deadline may be submitted to the Voting Delegate Desk <br /> located in the Annual Conference Registration Area. Your city co�ncil may designate one <br /> votin dele ate and u to ri�vo alternates. <br /> In ordez'ta vote at t��e Annual Business Meetiz7g{General Assembly}, �ating dele�ates and alternates must <br /> be designated by yo�r city council. Please attach the council resolution as proof of designation. As ar► <br /> alternative,t��e Mayor or City Clerk may sign tl-►is form, af�rr�ir�g that tl�e designation reflects the action <br /> ta�:en by the counci�. <br /> Please note: Voting delegates and alternates wi]I be seated in a separate area at the Annual Business <br /> Meeting. Admission to this desig�ated area will be limited to indivictuals(va�ing delegates and <br /> a�ternates) wha are ider�tified with a special sticker on their conference badga. This sticker can be <br /> obtained only at the Voting DeIegate Desk. <br /> 1. VOTING DELEGATE <br /> Name: <br /> Title: <br /> 2, VOTING DELEGATE - ALTERNATE 3. VOTYNG DELEGATE - ALTERNATE <br /> I�Tame: Name: <br /> Tit�e: Title: <br /> PLEASE ATTACH COUNCTiL RESOLUTION DESIGNATING VOTING DELEGATE <br /> AND ALTERNATES. <br /> OR <br /> ATTEST: I af�rz� that the information provided reflects action by the city canncil to <br /> designate the voting deIegate and alternate(s}. <br /> Name: E-mail <br /> Mayor or City Cler�C Phone: <br /> (circle one) (signature) <br /> Date; <br /> P[ease complete and return bv Wednesday, Au��st 1�th, �o: <br /> League of Caii�ornia Cities FAX: (916} 658-8240 <br /> ATTN: Mary McCulioubh E-mail: mmcc�lIough@cacities.org <br /> 140Q K Street {916) 658-8247 <br /> Sacrarr�ento, CA 95$14 <br />