HomeMy WebLinkAbout2018-02-12 PartnerClarlbgtoa Council / Committee Member
�"" Declaration of Interest Form
This form shall be completed by the Member for each matter for which the Member is
declaring an interest in accordance with the Municipal Conflict of Interest Act. The
completed form shall be provided to the Municipal Clerk, or designate, at the conclusion
of the meeting. Note, the details of the declaration shall be recorded in the Declaration
of Interest Registry and a copy of the completed form shall be posted on the Municipal
Website in addition to the Registry.
I, Councillor
declare a potential
❑ deemed' / � direct / ❑ indirectz) pecuniary interest on
Agenda: R General Government Committee
❑ Planning and Development Committee
❑ Council
Details: Agenda Item I Subject matter,
Report number: %
Date of meeting: za
for the following reason:
Date
Desianaceiji�d by the Clerk�or�
Designate}}''
Notes: 'For a "deemed" direct or indirect pecuniary interest see Section 3 of the
Municipal Conflict of Interest Act.
2For an "indirect pecuniary interest' see Section 2 of the Municipal Conflict of Interest
Act.