HomeMy WebLinkAboutIngallsLarry Affidavit Disclosure 1986 AFFIDAVIT OF DISCLOSURE
Pursuant to the requirements of subsection 5-505. 1
of the Lansing City Charter, I,
[full name]
,being an officer/employee of the City of Lansing, Michigan,
.hereby disclose that:
I intend to have business dealings with the City of
Lansing, either directly or indirectly.
I may derive income and/or benefit, directly or in-
directly, in addition to my official remuneration as
a result of City Council action or a contract with
the City.
The details of the above indicated business dealings,
cx '
L„ +�jjinc me, benefit and/or contract are as follows :
C"
cJ ( r
I� I
[use back if necessary]
Address :
ij 1 b l9
I.
STATE OF MICHIGAN)
''COUNTY OF INGHAM )
'; On this ( day of
A.D. 19��, be-
afore me, a Notary Public in aiid for said County, personally
; appeared known to me to be
'the Affiant herei n((med, a'-id made oath that the same is
!;true as to his own knowledge, and as to those matters stated
"to be upon his information and belief, he believes them to
be true.
�� Notary Pu lic
Ingham County, Michigan
My Commission Expires :
RITA M. BAUMAN
Notary Public,Ingham County,Ml
My Comm. Expires rq v. 13, 1389