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HomeMy WebLinkAboutR-03-0979RESOLUTION NO. 03,979 A RESOLUTION OF THE MIAMI CITY COMMISSION APPOINTING CERTAIN INDIVIDUALS AS REGULAR MEMBERS OF THE PLANNING ADVISORY BOARD FOR TERMS AS DESIGNATED HEREIN. BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The following individuals are hereby appointed as regular members of the Planning Advisory Board, each for a term to expire on January 12, 2004, or until the nominating Commissioner leaves office, whichever occurs first: APPOINTEES: NOMINATED BY: James Black Vice Chairman Arthur E. Teele, Jr. Dana Manner Commissioner Joe Sanchez Section 2. The attendance requirements of the City Code Section 2-886 are hereby waived by a four/fifths vote of the members of the full city commission, as it relates to past absences on record for Dana Manner. City Commission Meeting of September 11, 2003 Resolution Number 03-979 PASSED AND ADOPTED this 11th day of September, 2003. This Administrative Act shall become effective immediately. PR SC A A. T OMPSON CITY CLERK1 1 Board appointments are administrative acts which do not require the Mayor's signature nor the City Attorney's review and approval. - 2 - 03-979 TO: Honorable Members of the City Commission FROM: Pri6Silla A. Thompson CITY OF MIAMI, FLORIDA 41 INTER -OFFICE MEMORANDUM DATE : August 8, 2003 FILE: SUBJECT: Planning Advisory Board REFERENCES: September 11, 2003 Agenda i City Clerk ENCLOSURES: List of Members, Resolution The Planning Advisory Board was created to advise and make recommendations to the Commission in phases of the City's comprehensive planning program. Three appointments are needed at this time: • Commissioner Regalado has one nomination for a seat currently held by Doris Scheer whose term expired on January 12, 2003. Ms. Scheer has served as a member since July 26, 1994. Pursuant to Code Sec. 2-885(b), no board member shall serve more than eight consecutive years on any one board. This requirement may be waived by a unanimous vote of the members of the City Commission. • Vice Chairman Teele has one nomination for seat currently held by James Black whose term expired on January 12, 2003. • Commissioner Sanchez has one nomination for seat currently held by Dana Manner, who exceeded the number of absences allowed per Code. Pursuant to requirements under City Code Section 62-123, our office placed a notice in a newspaper of general circulation in the City. Our office has received applications (copies attached) from the following individuals: ■ Joseph E. Bradman ■ Juan Carlos (JC) Garrido ■ Alan Sirkin. All applicants comply with the residency requirement. Ordinance 12080 provides that incumbent members need not apply. By copy of this memorandum, we are requesting the Agenda Office to place this issue on the September 11, 2003 Commission agenda. For your convenience, we are including a copy of the current membership of said board. This matter was deferred from the January 9, 2003, the March 27, 2003 and the July 24, 2003 Commission meetings. 013— 0f9 Please be aware that City Code Section 62-124 states in part: "In reaching a decision on appointment to a vacancy on the planning advisory board or on the zoning board, the city commission shall give due regard to, and be guided by the necessity for representation on the boards, of. (1) Geographical sections and areas of the city; (2) Social, economic and demographic characteristics of the city; (3) Qualifications, background, experience and abilities of appointees to fulfill the duties and responsibilities of board membership or alternate membership; prospective appointees shall be subject to a personal appearance before the city commission, to afford the city commission an opportunity to ascertain prospective nominees' proficiency in the English language, educational background and general knowledge of planning and zoning. (4) Prior demonstration by prospective appointees of interest in and concern for planning and planning implementation, as may be evidenced by previous attendance at planning or land use control seminars; (5) Membership in organizations having the primary aim of the furtherance of dissemination of knowledge of and support of sound planning and implementation programs; (6) Other activity evidencing knowledge and interest in the public purposes of planning and plan implementation; (7) Potential conflicts of interest; (8) Demonstrated maturity and objectivity of judgment; and .(9) Needs for expertise, if any, in the membership and alternate membership of boards. Appointees shall be persons in a position to represent the public interest and no person shall be appointed having personal or private interests likely to conflict with the public interest. No person shall be appointed who has any interest in the profits or emoluments of any contract, job, work, or service for the city. Before making any appointment, the city commission shall determine that the persons so appointed satisfies the requirements of sections 2-611 (Conflicts of Interest) et seq., and no person shall be confirmed in appointment who has not filed the statement required by section 2-615 (List of real estate owned - Required of certain officials). In addition, the code of ethics of Metropolitan Dade County shall apply to members and alternate members of the planning advisory board and of the zoning board. c: Yamile Marrero-Trehy, Assistant City Attorney Teresita Fernandez, Liaison/Executive Secretary, Hearing Boards Elvi Alonso; Agenda Coordinator James Black, Chairperson 03-- 979 PLANNING ADVISO)IZY BOARD (10 members) 1 21 APPOINTED BY NAMI? AUDIt1;SS PHONE s ItESOLU'I'ION TERM ItE Ul11EU EXPIRE SANCllE'Z (Mr.) Dana Manner, 645 S.W. 25 Rd., Miami, FI 33129 (W=305-500-3165; I-1=305-859-9727) 305-220-4300 8- 1-12-04 Res-ok manndl@yaho_ 1-9-U3-03 A=1-15-03 Real -02 [exceeded absences allowed per code] A=2-19-03 Sworn A=3-19-03 SANC11 EZA=4-30-03 alternate: Arva Moore Parks McCabe; 1601 South Miami R-03-64 Ave; Miami, Florida 33129; (11=305-854-3501;1-12-04 RES -OK W=305-854-8087) 1-9-03 A=1-15-03 Real -02 A=2-19-03 Sworn GONZALI;ZA=4-30-03 11=305-635-9653 Tamara Gort; 2660 NW 14'x' Ave; Miami, FI 33142 R-03-64 1-12-04 Sworn 1-9-03 A=1-22-03 GONZ.ALEZ Rev. Guillermo A. Revuelta, 3437 N.W. 15'x' Street, Miami, R-03-223 Florida 33125; (1I=305-635-7936), (0=786-287-1702 1-12 2-27-03 A=3-119-9- 03 RES -OK Real -U2 A=4-30-03 Sworn REGALADO Denis Rod, 2759 N.W. 6 Street, Miami, Florida 33125 (305-649-8965, 305-642-0018) R-03-307 _1-12-04 Real -02 3-27-03 A=4-30-03 Sworn REGALADOon=-3-27-03 Doris Scheer; 1840 Coral Gate Dr., M-33145 (1I=305-448- R-02-429 5232; W=305-576-2360; F=305-573-9684) 4-18_02 I -1— 2=U3 Real -01 A 1-15-03 RES -OK A- 1-22-03 Sworn A 4-23-03 OA: 7-26-94 MUST FILE: (1) STATEMENT OF FINANCIAL. INTERI:S"I', (2) REAL I;S'I•A'1'1: INSCLOSHI?F, AND 0) OATI I RI:( 11 page 9 1 1 IIt I .D 6/17/2003 PLANNING ADVISORV BOARD (10 members) I'EELE Cathy Lelf, 1000 Venetian Way #706, M-33139 (11=305-381-9766; W=305-535-2615) TEELE James Black, Chairperson, 8500 S.W. 107 St., M-33156 (TJ=305-275-8227; W=305-669-5300 X-312) F=305-669-1214; C=786-346-0808 WIN{'ON Luis Revuelta, 1417 Santa Cruz, Gables 33134 (I1=305-567-3014; W=529-1080) ire vueIta )rvlarch.corn WINTON Max Strang; 3109 Grand Avenue, 11269; Miami, FL 33133; 11=305-669-5978; W=305-569-0068 R-03-64 1-9-03 R-02-1034.5 9-11-02 R-03-64 1-9-03 R-03-64 1-9-03 1-12-04 A=1-15-03 1-12-03 A=2-19-03 1-12-04 A=2-19-03 1-12-04 A=1-15-03 A=3-19-03 21 RES -OK' Sworn Real -02 RES -OK Real -00 Sworn OA=5-22-97 RES -OK Real -00 Sworn RES -OK Real -02 Sworn MIJS"1" { II,L•: (1) STA'T'I MENT OF FINANCIAL IN'T'EREST, (2) RFAI. ESTATE. DISCLOSURE, ANI) (3) OA'1'll RI?(1111RED 6/17/2003 rage # 2 Cyr— �14L. Cn CITY OF MIAMI APPLICATION FOR PLANNING ADVISORY BOARD and/or ZONING BOARD NAME: _Joseph E. Bradman RESIDENCE ADDRESS: 439 NW 901 Street Miami Fl. 33136 HOME PHONE: 786-425-0637 BUSINESS PHONE: 305) j71-0406 City Code Sec. 0-884 states: "No employee of Miami-Dadc County, Florida, or any municipality therein other than City of Miami employe es, shall serve on or be appointed to any Board of the City of Miami." PRINCIPAL BUSINESS/EMPLOYM: Transition inc (Company Name) BUSINESS ADDRESS: 150 NW 374 Avenue Miami F1.33I36 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? NO Would you like to serve on the Planning Advisory Board? Yes Would you like to serve on the Zoning Board? No Please state if you have a preference for either board: Planning Advisory Board Members shall either be permanent residents of the City, own real in the work or maintain a business in the City. Please fill in attached property depmpji � form. Owners Of Property in the City of Miarm. please answer the g Question: Is all the followwiin Property you own in the Ciry of Miami in conformance with Cityordinances? If "no," Please give details below: Permanent re_sident < 0M1S>p= Appucauon IJ1:Jo: ;j3- 979 Will hr• ale to faithfully attend meetings of the board as required by Section. 6_-12c of the Miami City Cosi? Yes i Will you be able to attend Planning and Zoning serrunars as required by Section 62-1 = of the Miami City Code? Yes Do you foresee any conflicts of interest as defined in Miami -City Code Article . Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.I ? No Are you prepared to file a list of real estate interests owned, either personalK o: corporately within the City of Miami (see attached forms) with the City Cierk, pursuant to Section 2-615 of the City of Miami Code? Yes Are you prepared to file a statement of financial interests Pursuant to Florida Statutes Sec. 112-31.5 and/or Miami -Dade County Ordinance No. 77-13? Yes List your experience relating to the fields of planning and zoning: Azaoe Board of Directors, afternoon program for the Overtown area Director of the Universiry Ave. Coopts. Coordinator of northeast area of New Jersey for CWA Are you a United States citizen? Yes Are you presently indebted to the City of Miami for an l y real or Penonal property tax. !! license fee, or property lien? No If "yes," give details: 9 Signature: L, Date: N Arty; _�-' .r- <fonns>pz application r cn 0 c to I2112/o_' _Cn ;J3- 97: C= OF MIAMI. FLORIDA RESIDENCY COMPLIANCE FORM (IN CONFORMANCE WITK SECTION 2-384 OF THE CM' CODE) Please submit your completed form to:-" _ City of Miami Office of the City Clerk 3500 Pan American Drive �o Miami. Florida 33I33 -` = ^) 7-1 17 1) Date: December 11. 2002 _ N ; 1. Joserh E. Bradman 1{r� =:c a member of Pianninp Advisory Board cn w (name of board) — Q' Do comply with the residency requirement under Code Section 2-6S4. name,•: (do/do not) - (a) All members of City boards shall either be Permanent residents of the City oW21 real PrOP�T m the City, or wort; or maintain a business in the City..." (Note: If you coon with the resideacv:oquiretnent (Code Sec. 2-8g4). please prow c to wsth the following information.) A. I presently reside m the City of Miami at the following address: 439 NW 96 Streat Miami. Fl. 33I3 B I own a business and/or real propry within the City o: Miami limits at the following address: (Note: Kindly specify if it is a business or a propeny) KON3= C. 1 work withut City of Miami busts. My business address is: 1550 NW im Ave Miami. F_ 1136 c Si tore ti ;:l3- 979 :R f•• josevh E. Br. adman 439 N.W. 9`h Street, Apt. 16 Miami, Fl- 33.136 (786) 42;-0637 JEBBUE@Yahoo.com OBJECM E: - A member Planning Advisory Board !" RELEVANT EXPERIENCE: 10/02 prese7u Supervisory -Transition Inc -Miami, Florida. w SuFer"ise Convnuniry Service Workers, to develop and maintain a "Ork"1 h clients to move thein into the work force to seek meanin g °bt%jvr 07/24/Present 8fitl employment - Sales Representative -Care Entrfe- Miami. Florida Currently working full time presenting affordable health plan and savings services that are parr of the family essential needs. on many basic 071 are Outreach Developer -Mattie Koonce Le Currently working arnin & Technolo - Center -Miami, Florida Introduct11199-Preset Co puters and gher education. students for the center to learn 11199 -Present Art Facilitator and Mentor-101am Art Museum- Mami Currently working full time teachin, florida g Youthpresemtation of an educational documentsr s the ptaducti�, organization, and 07/02-9/02 yon the history and development of Ov Directors ASS sUwt_p, crtown. Currently working aa� Enrichment Prog�_ P� time m an after school tet' Florida school students with computer Kinin and v �am directing and Presenting g arious courses of sttud tors Assist assisting grade 9/99 6/02 g meeting for parenu,and guars. Y• Assist in planning Assistant -Greater Bethel A Created and frican Methodis implement E isco al -Miami, Florida ted an afar school co senior citizens teaching basic co mputer Program for local chit raising computer skills. Additional r drat and mored specidiiun x' ng phones, and light clerical wow C Ponsibiiities in fund g in advising the youth of the community. Currently serving an the Boan2 of Directors, ED UCA'I'i011i: Rutgers Newark; Colles � o of Arts and Sciences, Newark-, NJ. Bachelor of Arts. Economics " `" N Essex County College, New and Business A _C' �nistrauon ''_ v � rVj Associate of Science, Business ��r c� Education T � � MILITARY: United States Army Honorable Discharge REFERENCES: Available upon request ft1 m 0 v+ o � 2 ;:►3- 979 o o CITY OF MIAMI APPLICATIVN r' cn N FOR PLANNING ADVISORY BOARD and/or ZONING BOARD J NAME: J UA N RESIDENCE ADDRESS: Za Z J_ G) 45;4f ZR tc+o s, W 1 7.14po HOME PHONE: //!7406)r PHONE: AMJ City Code Sec. 2-884 states: `bio employee of Miami -Dade Co unr municipality therein other than City of Miami employees,', Florida, or any to any Board of the City of Miami. shall serve on or be appointed PRINCIPAL BUSINESS/aeLOYER : _JG/v► E' -L-0 (Company Name) BUSINESS ADDRESS: 2.0 Are you an employee of Miami -Dade County or any municipality therein other than the City of Miami? I Would you like to serve on the Planning Advisory Board? i= S Would you Iike to serve on the Zoning Board? Please state if you have a preference for either board: ,�G' AaT Members shall either be permanent residents of the Ci work or maintain a business in the City. Please fill in, awn real Property m the Cm'' or form. attached Residency Co�npliance Owners of property in the City of Mme, please answer the following Property you own in the City of Miami in conformance Question: Is all the with City Ordinances? 0 If "no," please give details below: <fonns>pz application 3/19/2001 ij3 - 079 k Will you be able to faithfully attend meetings of the -board as required by Section 62-I26 of the - _____: i ity Code? y>r5 Will You be able to attend Planning and Zoning seminars as required by Section 62-12.: of the Miami City Code?5 Do you foresee any conflicts of interest as defined in Miami Cite Code ,gnIcle N'. Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1 ? Q Are You prepared to file a list of real estate interests owned, either personaliv o: corporately within the City of Miami (see attached fortes) with the City Clerk, pursuant to Section 2-615 of the City of Miami Code? Are you prepared to file a statement of financial interests pursuant to Florida Statutes Sec. 112-3145 and/or Miami -Dade County Ordinance No. 77-13? _ 9E -s List your experience relating to the fields of planning and zoning: T L wvG - , But Rova Are You a United States citizen? Are You presently indebted to the City of Miami for any real or Iicense fee, or property lien? r} pOH Property tax. If `yes, give details: Signature: Date: [ *;% - 10 '2 - A TZ_ N _ A.Y $fir} 1,ry VOL d )N N( pL�tJ1J � t� 1rOf t Y�4i�aVS �rdMM VN t� �4 Gf"i�>QS . QSSW-maxv M/45?E.2 PS-A�vS �d+it �c�uTaWN It A5,raDvtt.DtNG- Y+.1 Its Dt�2 F»R� 'TbwN of +' '� 4CH S ttdiS OW l u if i� ��,t)l— s s BvI �.a „ N �F + aRaO1Ni4�tC�S ¢�yl a C=om JT $� � � M 'Tyl�Os 3/1912001 11cation - Qil'VI,i1MTCIMW 0 3 fl 1'*7 c"� i r s r ro 0719 CITY OF MIAMI, FLORIDA RESIDENCE' COMPLIANCE FORM (IN CONFORMANCE WITH SECTION 2-884 OF THE CITE' CODE) _ Please submit your completed form to: City of Miami Office of the Cite Clerk- 3500 lerk3500 Pan American Drive Miami, Florida 33133 Date: i Z — Q2 - 2002 I, VAH 4:^P -.ter 0 0 v rn clir — — v . a member of (name of board) Pa catnPlY with the residency (do/do not) re 4unent under Code Section 2-884, namely: "(a) All members of City boards shall either be permanent residents of the CitY, own real property in the City, or work or maintain a business in the City-." (Note: If you do comply with the residency requirement (Code Sec. 2-884), please provide us with the following information.) A. I presenth, reside in the City of Miami at the following address: or B• I own a business and/or real propern' within the City of Miami limits following address: (Note: Kindly specify if it is a business orproperty)� at the 2 32� - t•� 1 � C. I work within Citv of Miami limits, My business address is: Signature aJ3— 979 Legal Uescr►r r ►i ►r ►i ► SA_MPLFNTRY: Lot 7, Primrose Section 4, 1IB 52 LdT 9 ANO -fiff� 1/1Ccr-r., •719VOIK aWM _ft_wd 13. FV ('Il y OI' MIAMI, I-LORIOA SIA 1I MI,Nt OI_REAL PR0PEI1TV UWNI-D (IN CONF(WMANC WI I II Sf 2C fi15`OIf-Illi Cl I COF)F:) ('onun,rlt Add►cs� s — I lite Owned Zoning C18SS , 1, -Legal W=Wholly 1 reseal I lr•.— fi-liquilable P>Fn Part 437 Northeast 54'h Street L W 2U,+ S.W. "sr. R I iloine ------------ I, J V/H G�i.09 &Ap$ 00O ATI I do solemnly swear that the above is a true and accurate statement of my interests in realro pert local ed wit hin corporate limits of the CITY Of MIAMI or 500 reel beyond the corporate limits of the CITY Of MIAMI. P I y NAME! (Please Print) 1111.r/POSt lON Wllil CI TY OF MIAMI N VM E Slate of Florida /�_ County of L. -z '1 it NOTARY PUBLIC SEAL OF OFFICE: 01 rVe( OF�mAt)w t�01AM1331pi rtU1rlEl\ 7, A -- 00011 NAME OF n( RD/C( i Elicable) p F s. ,N' ua 1 1 +�ii1`I50" SIGNA111R DATE: A •Q1- On this the —1—Pday of a 94C4 20 the undersigned Notary Public of the Sla of I�de,o ore me, was acknowledged by going Instrument -J VAN (Name ofperson 21 'i'; WITNESSSmy hng and his/her title (public officer, trustee or Personal representative) ON%end official seal. ITARY PUDUC, AIE0 FLORIDA dear ft rt a 7tO tore o(Notary 1'ublic• Print, Stamp, or hype as Commissior D Personally known tome, or 11d) *'—Froduetd Identification: ����• (Type of Identlflcaloa ,- •v C1 DID take an oath, or O DID NOT take an neth CITY OF MIAMI AppLICAT10,,� FOR PLANNING ADVISORY BOARD and/or ZONING BO.Alm NAME: Q N Sir /%1 RESIDENCE ADDRESS: SS -OD S , ti HOME PHONE: 3 O f-66 S - 7 Z R%sn ESS PHONE: OS^� S` 3 IVE. S 4 �1 CityCode Sec. 2-884 states: "No municipality therein other than Ci oefmplovee of -Dade County, Florida. or am, Miami to any Board of the City of Miami.- of shall ='e on or be appointed PRINCIPAL BUSINESSIEMPLOYER: j Y T , � __11 � YUT�''1r r j S �S mPanY Name) BUSINESS ADDRESS: Are you an employee -Dade Cour n' City of Miami? or any municipality therein other than the Would you Iike to serve on the Planning Advisory Board? L,�" Would you like to serve on the Zoning Bim? �— Please state if you have a preference for either board: e 1+k `or Members shall either be work or maintain a business thent e of the City ' own real Property in the City, or form. t3' Please fill in attached Residency ComPli�ce Owners of pro Perty in the City of Miami, lease Property you own in the City of Miami in conformance answer the followin tn�ance g gon:�15 If ''no, lease with City finances? S -; P give details below: -17 O <forz"z application 3/192001 - -03- 979 Will you be able to faithfully attend meetings of the bland as required by Sectio 6=_ of thf" Code? \qS�-� {LjbC�.� Will you be able to attend Planning and Zoning seminars as required by Section of the Miami City Code? Ynn Do you foresee any conflicts of interest as defined in Miami City Code Anicie V Sections 2-611 - 619 and Miami -Dade County Code Section 2-11.1 ? _ L10 Are you prepared to file a list of real estate interests owned, either penonally corporately within the City of Miami (see attached forms) with the City Clerk.. t o Section 2-615 of the City of Miami Code? Yes. to Are you prepared -to file a statement of financial interests pursuarit to Florida Statutes Sec. 112-3145 andior Miami -Dade County Ordinance No. 77-I3? �t°S List your a ence r a to the eIds f e'�' S $S f ems %-r\j Are you a united States citizen? 0 Are you presently indebted to the City of Miami for any real or Iicense fee, or property lien? {U� P Oral Prople: tax, If`�'eS." give details: Signature: Date: ( I <fOrr"z application 3/192001 �A - 979 IMCOACAOAATEO CITE' OF MIAMI, FLORIDA RESIDENCE' CONI- i.iANCE FORM �Fco.f .0 (I CONFORMANCE WITH SECTION 2-884 OF THE CITY CODE) Please submit your completed form to: City of Miami Office of the City Clerk; 3500 Pan American Drive _7 Miami, Florida 33133 Date: � �' Z /7 1 OL I. lcYt, S�Y-�,Yri' . a member of (name of board) comply with the resident (doido not) Y requirement under Code Section 2-884. namely: "(a) All members of City boards shall either be permanent residents of the Ctt3'1 own real property in the Citi, or work or maintain a business in the (Note: If you do comoiv with the residency re4uirent�t (Code Sec2_884. , provide us with the following information.) ) please A. I presently reside in the of Miami at the following address: 'N"s 1D'Y.- bly) e� ; B. I own a business and/or following real Property within the City of Miami Iimits at the b address: (lliote: kindly specifi• if it is a business or a Property) C. I work within Citv of Miami limits. My business address is: Signature ;J3— 979 ('1 I Y OF MIAMI, fI.ORIDA S fAI F.ML N I_t)f REAL 1'I40I'FI1'fY UWNLD (IN CONI ORMANCE, WI I III SIiC. 2-6I5 OI 'I IIh. ('I I Y Legal Description Common Address — Itle Owned__ SAMPLE CN"1,RY: I•-Legal T.olung UIass W=Wholly Present Ilse Lot 7, Primrose Section 41 -1?quitable , I'13 52 P III Pari 437 Northeast 54,h Street L W R-I . -- � 1°ine ------------ ------------- do solemnly swear that the above is a true and accurate slalenlenl of Illy interests i► located within corporate limits of the CfI'Y OF MIAMI or 500 feel beyond the col orate lino p Is of the CI"I'Y Of MIAMI.I real properly NAME: (Please Print) 1I Ii.E/1'OSII ION WI111 CITY OF MIAMI -- — NAME OF nOARD/COMMI IlEE (If Applicable) sa;NnI URE:- ----- "--- Stale of Florida—__.._-—_----- DA IE: On This the day of — - Ihe undersigned Notary Public of I_ he Slate of Flo►lda the foregoing Instrument ore me, County of was acknowledged by NOTARY PUBLIC + �' SEAI.OF OFFICE: J (Name of person signing and his/her title (public o(Ticer, Trustee or�jxr Personal nal represenlaNve) v WI (NESS my hand and orlicial seal. 1 ` NOTARY PUBLIC, STA IF Of F1i)R11lA it (Name of Nota' ryP�blic prinl, Stamp, or type as Commissioned) D Personally known to me, or Produced idenlificalinn f type or ldenlifrcalinn Produced) 1 t11 DID lake an nalh, or O DID No lake an nalh C,C) CC