HomeMy WebLinkAbout16- Gift Disclosure Form - Bobcat Football Tickets aF BozVIA
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Submit by Email Print Form
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: September 19,2016
Name: Chris Kukulski
Department: City Managers office
Phone#: 406-582-2306
Email address: ckukulski@bozeman.net
Who gave the item? President Cruzado
For what purpose? Attend Sept.10 Bobcat football game
Describe the Item: 2 tickets to President Cruzado's suite
What is the Items Estimated Value? $80
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 a-mail'butto z
pre r,you can also print,sign
and mail or deliver to the clerk's office. Thank you!
Signature:
_&:a_1-4 If you have questions about the gift provision please call or e-mail the City Attorney at(406)582-2309.