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DOVER CODE <br />(APPENDIX B) <br />CITY OF DOVER <br />CONFLICT OF INTEREST STATEMENT (GENERAL)I <br />DECLARATION OF CONFLICT OR POSSIBLE CONFLICT OF <br />Pursuant to the provisions and intent of Chapter 22 of the Ordinances of t~e City Dover <br />regarding disclosure of certain interests, I hereby make the following decla ation: <br />Please describe below the nature and extent of any conflict or possi le contl t of <br />interest which you or members of your immediate family may have n conn ctiot <br />with the carrying out your duties as an elective or appointive officer or emp oyee <br />of the City of Dover. <br />Date: Signature <br />Position <br />91 <br />