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RESOLUTION NO. ___ _
A Resolution appointing Charles Reid Kline to the City of
South Miami Health Facilities Authority to serve for a
___ -year term ending ______ --'
WHEREAS, the City of South Miami Health Facilities Authority was created by
ordinance no. 11-95-1584, dated August 15,1995, and
WHEREAS, the Health Facilities Authority is required to have five (5) members
who are residents of the City and three (3) members are required for a quorum; and
WHEREAS, the Health Facilities Authority needs to provide information to the
Intemal Revenue Service and to appoint a representative to communicate with them; and
WHEREAS, The City Commission desires to appoint Charles Reid Kline to serve
for a -year term on the City of South Miami Health Facilities Authority.
Appointment shall expire or until a successor is duly appointed and
qualified.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, THAT:
. Section 1. The City Commission hereby appoints Charles Reid Kline to the
City of South Miami Health Facilities Authority.
Section 2. The expiration date of this appointment shall be ______ or
until a successor is duly appointed and qualified.
Section 3. This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED THIS __ DAY OF _____ " 2012.
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM,
LANGUAGE, LEGALITY AND
EXECUTION THEREOF
CITY ATTORNEY
APPROVED:
MAYOR
COMMISSION VOTE:
Mayor Stoddard:
Vice Mayor Newman:
Commissioner Beasley:
Commissioner Palmer:
Commissioner Harris:
':002.
Referred by: P. Stoddard,
CiTY OF SOUTH MIAMI BOARD/COMM'TTEEAP·PL,'Cj.IT~PN
6130 Sunset fJrive
, South Miami, FL 33143
PlIone No. 30;;-~53"rl34'O
'FIJX No. ' 30ji-6~3-6348
1. ,'lam interested in servi~g!ln the follo.wing bo.ard(s)ico.mmittee(s):
Health FaciHtes Authority
First choice .
Third cho(~e
3.
4.
Home Address: -~-~~==--=--==---"""'---"F"-
Bnsiness Address: ---~----~-----c--------,+-I--
5. Home Phone No.: -;: ______ _
6. E-mail Address:
7. EducationlDegree Earned: 7/,/
Pertinent Experience: .4#'
/7
Field Expertise: ~,
8. Community Service:
9. Attached Resnme: :J (Optional)
10. Are you a registered voter?
1l. Are yo.u a resident of the City?
12. Do. you have a business in, the City?
Signatu re
ApplIcant .
Revi.ved 512010
Business Phone No..
Fax No.,
, ,,?-'"', "....,.
Yes " ,r
Yes_,',', ",r
Date '/ ..,;;2/.!2 q-~ '.' / (
0 __
0. __ " ,
0._'_
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