HomeMy WebLinkAbout14- Gift Disclosure Form - J. Vandelinder - Park County Community Foundation Trip and Tour .
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City of Bozeman
P.O.Box 1230/121 North Rouse Avenue
Bozeman,Montana
agenda@bozeman.net
59771
Phone:406-582-2320
-582-2344
Gift Disclosure Form ww.b zeman.ne
www.bozeman.net
Date: 2014/10/16
Name: John Van Delinder
Department: Streets
Phone#: 582-3206
Email address: jvandelinder@bozeman.net
Who gave the item? Park County Community Foundation
For what purpose? To see pedestrian and bicycle infrastructure in Boulder Colorado
Describe the Item: We rode and walked Boulder's trails,paths and bike lanes.
What is the Items Estimated Value? $600.00
Have you reviewed the Gift Provision on page 10 of the City of Bozeman Ethics
Handbook to verify this is an item you can receive? Drop-down List Yes
Comments:
By submitting this form,you are confirming that the information contained herein is correct and true to the best of your
knowledge. A digital signature can be created through the'submit by e-mail'butto If y u prefer,you can also print,sign
and mail or deliver to the clerk's office. Thank you!
Signature:
- �.,_o dL
If you have questions about the gift provision please call or e- it the City Attorney at(406)582-2309.