Description of Financial Principal Type of Economic Activity
Interest over $10,000
€ Stocks
€ Bonds
€ Realty
€ Proprietorship
€ Partnership
€ Other
List of Offices or Directorship held by Official or Candidate: (Entities may be identified by the principal type of economic activities in which it engages)
Office or Directorship Principal Type Business or Economic
Activity in which Engaged
I certify that the above financial disclosure form is true and accurate to the best of my belief and knowledge. I understand this form is a public record.
Dated: , 20
(Ord. passed 11-15-1994, Official Form 1)
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