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HomeMy WebLinkAboutArthurSeon Affidavit Disclosure 2005 CITY OF LANSING Page 1 of 2 Print Form s� ?' J7�� CITY OF LANSING AFFIDAVIT OF DISCLOSURE N Date: y�/If"/© + To: City Clerk C, VI City Attorney, or c�'+ Board of Ethics make the following disclosure under oath: (Name) PLEASE CHECK THE APPROPRIATE BOX OR FILL IN THE BLANKS FOR EACH OF THE FOLLOWING ITEMS YES NO 1. ❑ ❑ I am an ❑ elected or ❑ appointed ❑ officer or ❑ employee of the City of Lansing holding the position of L-.L.�, in the 4;,V[6- ti roc 1,� Department. ❑ C7 I am an immediate family member related to an elected or appointed officer or employee of the City of Lansing named holding the position of in the department. ❑ ❑Z I am a Business Associate of an elected or appointed officer or employee of the City of Lansing named holding the position of in the department. 2. ❑' ❑ I may derive income or benefit directly from a contract with the City or from any City action detailed below. (Charter 5-505.1) ©� ❑ I may have a conflict between a personal interest and the public interest, the nature of which is disclosed below (Charter 5-505.2) [Chapter#290.04(1)of the Code of Ordinances]. i 0-- ❑ 1 may have a financial interest in a matter proposed to be acted upon by the City of Lansing as described below [Chapter 290.04(1) of the Code of Ordinances]. ©� ❑ I make this disclosure because of a possible appearance that I may be in violation of or in conflict with the City of Lansing Ethics Ordinances as provided for in the Code or Ordinances and in the City Charter. 3, This position is: ❑ Full time ❑'Part time (less than 25 hours/wk) ❑ Unpaid 4. My address is: V1\0 M1. jyEj'(u 5. My Business (daytime) Phone#is: 1 --5 6?4 http://Ibwl/lbwl/fs/msmrc/Affidavit%20of%2ODisclosure%20020418.htm 3/10/2005 CITY OF LANSING Page 2 of 2 6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S) FOR SUBMITTING THIS DISCLOUSRE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST. N F O C'j 0, l \ , S,� kT,��1 6 i `eta E I herby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. The foregoing Affidavit of Disclosure was executed on this Cl day of 2V�, Signed State of Michigan, County of Subscribed and sworn to before me this 0 I� day of 20 0S Ndtary Public Deputy Clerk NANCY M.cAWRT / Nobry Pudic.Michipcm4Z 4Y„ v :u �r County, Michigan Eoion MY C.onw Amon AW 2 2007 My Commission Expires: E in ew County of http://lbwl/lbwl/fs/msmrc/Affidavit%20of%2ODiselosure%20020418.htm 3/10/2005 r � - �7- To: Mr. Brian Francis Copy to Mr. Mike Ring Delivered via USPS Board of Water and Light Dye Water Dust Collection PLC Control Panel CSI Quotation Q05093 Response Control System Integrators, Inc. www.contro/si.com 7701 Northport Drive Lansing, Mi 48917-8541 Voice: (517) 322-8880 Fax: (517) 322-3030 March 11, 2005 voice(517)322-8880, fax(517)322-3030, web:www.controlsi.com T' 7701 Northport Drive,Lansing,Michigan 48917-8541 Control System Integrators,Inc. March 11, 2005 CSI Quotation Q05093 Response Mr. Brian Francis Senior Buyer/Supervisor Material and Services Management Board of Water and Light 1110 South Pennsylvania Avenue Lansing, MI 48912 Subject: Dye Water Dust Collection PLC Control Panel Dear Brian, This letter serves as your assurance that in the event the above referenced contract is awarded to Control System Integrators (CSI), Mr. Seon Arthur, our employee, will not have any responsibility with this project. Thank you for the opportunity to quote your requirements. As always, CSI intends to complete this assignment in a way that earns your trust and solidifies a mutually rewarding relationship. If you have questions or concerns, please feel free to contact me. We look forward to the receipt of your purchase order and the successful completion of this project. Sincerely, 1 t� Dennis D. Bunker Estimating Director Control System Integrators Email: dbunker@controlsi.com Voice: (517)322-8880 Fax: (517) 322-3030 DDB/jaj Page 2 of 2 W E MAKE YOUR TEAMS B E T T E R