07-20-04 Item 41
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RESOLUTION NO.
A RESOLUTION OF THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI,
FLORIDA, RELATING TO BOARDS AND
COMMITTEES; APPOINTING SAMANTHA SIMEON
AND STEPHANIE SIMEON TO SERVE ON THE
JUNIOR COMMISSION FOR WOMEN FOR A TWO
YEAR TERM ENDING JULY 19,2006; AND PROVIDING
AN EFFECTIVE DATE.
WHEREAS, The Mayor and Commission recognize the important contributions
made by those who serve on the various city boards and committees, and wish to appoint a
full complement to each of the active boards and committees; and
WHEREAS, The City Commission desires to appoint Samantha Simeon and
Stephanie Simeon to serve for a two year term on the Junior Commission for Women.
Appointments shall expire July 19, 2006 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 Samantha Simeon and
Stephanie Simeon to the Junior Commission for Women.
Section 2. The expiration date of these appointments shall be July 19, 2006 or
until a successor is duly appointed and qualified.
Section 3. This resolution shall take effect immediately upon approval.
PASSED AND ADOPTED THIS DAY OF , 2004
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM:
CITY ATTORNEY
APPROVED:
MAYOR
COMMISSION VOTE:
Mayor Russell:
Vice Mayor Palmer:
Commissioner Wiscombe:
Commissioner Birts- Cooper:
Commissioner Sherar:
a
CITY OF SOUTH MIAMI JUNIOR BOARD /COMMITTEE APPLICATION
6130 Sunset Drive Phone No. 305- 663 -6340
South 1'riianii, FL 3314`3 Fax No. 305- 663 -6348
1. Name: `- -'rAM0 m1�Y�
Please print),
2. Home Address: Soo 5 4-
3. Name of School: � C M � ;
4. School Address:
S. Home Phone No. 1300 7
6. Are you a resident of the City?
Date of Birth: D S / 9 9
Yes No
7. PLEASE ATTACH THE FOLLOWING TO APPLICATION:
a. Two letters of recommendation from current or former teachers
b. One letter of recommendation from an adult other than a family member
C. Copy of last report card.
d. Proof of participation in at least one extra- curricular activity.
8. Ethnic Origin?
An-lo American African American Hispanic American Other
Signature ( ^t(/I"r 1��ve Date
/Applicant
Signatu Date 7
r � �1 � �, c (i(.a
G Parent /Guardian
State of Florida
County of Miami -Dade
Sworn to (or affirmed) before me this
(seal of Notary)
day of , 20_, by
Signature of Notary
Printed Name of Notary
Personally known OR produced identification
Type of identification produced
THIS APPLICATION WILL REMAIN ON FILE FOR ONE YEAR
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
v
CITY OF SOUTH MIAMI JUNIOR BOARD /COMMITTEE APPLICATION
6130 Sunset Drive Phone No. 305- 663 -6340
South A ianu, FL 33143 Fwc No. 305 - 663 .-6348
1. Name: �t- Crlty
(Please print) / S
2. Home Address: �0 t f a 'St
3. Name of School: 30LA & kc d c, soc,) Y� �c u � JcV `��c ai� �
4. School Address:
5. Home Phone No. 05 o()-'1-7 Date of Birth:
6. Are you a resident of the City? Yes V No
7. PLEASE ATTACH THE FOLLOWING TO APPLICATION:
a. Two letters of recommendation from current or former teachers
b. One letter of recommendation from an adult other than a familv member
C. Copy of last report card.
d. Proof of participation in at least one extra- curricular activity.
8. Ethnic Origin?
Anglo American African American Hispanic American Other
Signature ;� ,,��: }}— u- -
.,� , � �t . Date _A bi ( ZC1C�°
pi cant
Signatur. g-' Date iil't 7 7U i j
Parent /Guardian
State of Florida
County of Miami -Dade
Sworn to (or affirmed) before me this day of , 20_, by
(seal of Notary)
Signature of Notary
Printed Name of Notary
Personally known OR produced identification
Type of identification produced
THIS APPLICATION WILL REMAIN ON FILE FOR ONE YEAR
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED