14-Deliberate and act on a resolution filling an unexpired term on the Airport Advisory Board

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First Name: Fred Last Name: Williams Address: 6480 Hwy 79 City: Sumner State: TX Zip: 75462 Telephone (903) 123-4567: 903 782 9419 Areas of Interest: Airport Advisory Board Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: Pilot, aircraft builder and mechanic. Physician. Have my airplane housed at Paris Cox Field. Correct zip code 75486 Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 10/29/2009 5:44:51 PM Submitted from IP Address: 66.76.56.215 Form Address: http://www.paristexas.qov/forms.aspx?FID=69 1- _