HomeMy WebLinkAboutMilksMalcom Affidavit Disclosure 1984 AFFIDAVIT OF DISCLOSURE
Pursuant to the requirements of subsection
5-505.1
1 /C
of the Lansing City Charter, I, 4 'o%
[full 'name]
being an officer/employee of the City of Lansing, Michigan,
:'hereby disclose that:
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i( � I intend to have business dealings with the City of
Lansing, either directly or indirectly.
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l/ / I may derive income and/or benefit, directly or in-
directly, in addition to my official remuneration as
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a result of City Council action or a contract with
j the City.
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The details of the above indicated business dealings,
;'income, benefit and/or contract are as follows :
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;!STATE OF MICHIGAN)
iCOUNTY OF INGHAM )
On this // `'d.ay of A.D. 19��', be-
'fore me, a Not P for said County, personally
ublic in and
appeared aeA , known to me to be
the Affiant herai-fi named, and made oath that the same is
true as to his own knowledge, and as to those matters stated
!to be-apon nformation and belief, he believes them to
, be true. �A9 ;
Notary Public
Ingham County, Michigan
_ My Commission Expires: �-