HomeMy WebLinkAbout13- Kukulski 12-13-2013 Gift Disclosure Form S4,I6rTlit b ti ad
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City of Bozeman
P.O.Box 1230 f 121 North Rouse Avenue
Bozeman,Montana
agenda @bozeman.net
59771
Phone:406-582-2320
Gift Disclosure Form Fax:406-582-2344
www.bozeman.net
Date: aecember 13,2.013
Name: Chris Kukulsk
Department: City Manager
Phone#: 406-582-2306
Email address: ckukulski@bozeman.net
Who gave the item? President Cruzado
Forwhat purpose? Interact with President Cruzado and other invited guests in the President's Box to watch the football game
Describe the Item: 2 tickets to the November 16,2013-MSU vs SUU football game
What is the Items Estimated Value? $61.00(530.50/ticket)
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 ou refer, ou 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)582-23019.