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FORM 811 MEM011ANDUM OF VOTING OONFLICT FOR
COUNTVa MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
SUAREZ, XAVIER L.
3500 Pan American Drive
Miami
E OIr WHICH MIA CXXVRREU
May 11, 1939
City of Miami Commission
THE MARK COUNCIL CVMMISSION. AUTHORITY o
WHICH t SERVE a A UN11 Or:
X 01T : I cYIUNTr , OTHER 10 Al AISENCY
(41UNT1'
NAM! Or POLITICAL SUW
Dade i Commissioner
WHO MUST FILE FORM Bi
X ELMIVE APPOINTIVE
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This form is for use by any person serving at the county. city. or other local level of government on an appointed or elected board.
council. commission, authority, or committee. It applies, equally to members of advisory and non -advisory bodies who are presented
with a voting conflict of interest under Section 112.3143. Florida Statutes. The requirements of this law are mandatory; although
the use of this particular form is not required by lour, you are encouraged to use it in making the disclosure required by law.
Your responsibilities under the law when faced with a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason. please pay close attention to the instructions on this form
before completing the reverse side and filing the form. '
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding electi%c county. municipal. or other local public office MUST ABSTAIN from voting on a measure which inures
to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special
gain of a principal (other than a government agency) by whom he is retained.
in either case, you should disclose the conflict:
l PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on
which you are abstaining from voting; and
WITHIN IS DAYS AFTER THE VOTE OCCURS by completing and tiling this form with the person responsible for recording
j the minutes of the mating, who should incorporate the form in the minutes.
I APPOINTED OFFICERS:
A person holding appointive county. municipal. or other local public office MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the
special gain of a principal (other than a government agency) by whom he is retained.
_I
A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but must
disclose the nature of the conflict before making any attempt to Influence the decision by oral or written communication, whether
made by the officer or at his direction.
1F YOU INTEND TO MAKE ANY ATTEMPT 70 INFLUENCE THE DECISION PRIOR 7`0 THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
• You should complete and file this form (before making any attempt to influence the decision) with the person responsible for
recording the minutes of the meeting, who will incorporate the form In the minutes.
• A copy of the form should be provided immediately to the other members of the agency.
• The form should be rtad publicly at the meeting prior to consideration of the matter in which you have a conflict of interest. }
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If YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
You should disclose orally the nature of your conflict In the treasure before participating.
a You should complete the form and rile it within 13 days after the vote occurs with the person responsible tot receding the minutes
of the meeting, who should incorporate the form in the minutes.
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DISCLOSURE OF LOCAL OFFICER'S NMREST
—
! Xavier L. Suarez hereby disclose that 11
. 19-89�:
r
(a) A measure came or will vane before my agency which (check one)
Inured to my special private gain; or
Joj
—
inured to the special gain of
. by whom i am retained.
_
(b) The measure before my agency and the nature of my interest in the measure is as follows:
Item No. 30:
—
Deferal of proposed contract with Southeast Bankfor lockbox
services.
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Date Filed Signature
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NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 1112.3I7(1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE
OF THE FOLL,OV4'ING
IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUC7lON?!N ft7Y
—
SALARY, REPRIMAND. OR A CIVIL PENALTY NOT, TO EXCEED f3,000.
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