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HomeMy WebLinkAbout08-30-21 Gift Disclosure Form - K. Conrad - REI GIft Card & CupFrom:webadmin@bozeman.net To:Agenda Subject:Gift Disclosure Form Date:Monday, August 30, 2021 1:12:02 PM A new entry to a form/survey has been submitted. Form Name:Gift Disclosure Form Date & Time:08/30/2021 1:11 PM Response #:1 Submitter ID:43061 IP address:69.145.83.100 Time to complete:27 min. , 39 sec. Survey Details Page 1 1.Name Kaite Conrad 2.Department rec division 3.Phone Number (605) 415-9483 4.Email Address katieconradd@gmail.com 5.Who gave you the item? parent 6.For what purpose? gratitude 7.Describe the item: rei gift card inside a coffee mug 8.What is the item's estimated value? 35 9.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? (○) Yes 10.Comments: This was a gift card given to a me from a parent. The gift card was for $25 and I would say the coffee mug was around $10. I had her twin boys in my camps all summer. The gift was given to me the last day of summer camp by the twin boys but really I know the mom bought it and organized the gift. By submitting this form, you are confirming that the information contained herein is correct and true to the best of your knowledge. If you have any questions about the gift provision please call or email the City Attorney's Office at (406) 582-2309. 11.Please type your legal signature 08/24/21 Thank you, City Of Bozeman This is an automated message generated by Granicus. Please do not reply directly to this email.