HomeMy WebLinkAboutRichardsKathryn Affidavit Disclosure 1998 CITY OF LANSING
AFFIDAVIT OF DISCLOSURE
TO: CITY CLERK
CITY ATTORNEY
BOARD OF ETHICS
(Name), being duly sworn, says under
oath:
1. 1 am an elected or appointed officer or employee of the City of
Lansing, holding the position of Gam, 24u.,:..(Title) in the
Department. This position is:
"c,c,7 kFull Time: Part Time
(Less than 25 hrs. per week)
Unpaid:
2. 1 may derive income or benefit, directly or indirectly, from a contract
with the City or from any City action detailed as follows (Charter 5-505.1):
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(Paragraph 2. CONTINUED)
3. 1 have a conflict between a personal interest and the public
interest, the nature of which is disclosed below: (Charter 5-505.2; Lansing
Code 290.04 (1)):
4. 1 have a financial interest in a matter proposed to be acted upon
by the City of Lansing as described below (Lansing Code 290.04(l):
(Paragraph 4. CONTINUED)
5. 1 have ave not 'ttached page(s) of additional detail
concerning this disclosure.
6. 1 hereby 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 the 1-d of
(Name)
STATE OF MICHIGAN)
) SS.
COUNTY OR4 �
Subs nbed and sworn to before me this —LSt— day of
9 in County, Michigan.
y
Notary Public/or
Depute x.WNM
My ommission Expires: