HomeMy WebLinkAbout08-30-21 Gift Disclosure Form - N. Scharwz - REI GIft Card & CupFrom:webadmin@bozeman.net
To:Agenda
Subject:Gift Disclosure Form
Date:Monday, August 30, 2021 1:22:35 PM
A new entry to a form/survey has been submitted.
Form Name:Gift Disclosure Form
Date & Time:08/30/2021 1:22 PM
Response #:3
Submitter ID:43063
IP address:69.145.83.100
Time to complete:2 min. , 46 sec.
Survey Details
Page 1
1.Name
Nate Scharwz
2.Department
recreation
3.Phone Number
(720) 737-3172
4.Email Address
natechocolate@hotmail.com
5.Who gave you the item?
parent
6.For what purpose?
thanking me
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:
Two of the campers we had in campers gave me a coffee mug with an rei gift card inside of it on the last
day of summer camp.
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
8/23/21
Thank you,
City Of Bozeman
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