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HomeMy WebLinkAbout19- Gift Disclosure Form - A. Mayo - Transform the Future of IT Conference ��o...I3.o2r`l1 4i ...........,•,�'t Via!•''•• 1883 `•,s°' 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: 12/10/2019 Name: Albert Mayo Department: IT Phone#: 406-582-2299 Email address: amayo@bozeman.net Who gave the item? Dell Technologies For what purpose? Transform the Future IT conference Describe the Item: Hotel,airfare and transportation provided by Dell to this event in Austin,Texas What is the Items Estimated Value? $1,100 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'button.If you prefer,you can also print,sign and mail or deliver to the clerk's office. Thank you! Signature: If you have questions about the gift provision please call or e-mail the City Attorney at(406)582-2309.