Fillable DISCLOSURE/ CONFLICTS OF INTEREST (Lexington-Fayette Urban County Government)

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DISCLOSURE/ CONFLICTS OF INTEREST (Lexington-Fayette Urban County Government)

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DISCLOSURE/
CONFLICTS OF INTEREST
Pursuant to Ethics Act Section 25-5(4)
Please return form prior to consideration of this matter.
Meeting Body:
Meeting Date:
I, (please print), do hereby disqualify
myself from voting on
for the reason(s) stated below:
DATE SIGNATURE
Return to:
Council Clerk’s Office
LFUCG
200 E. Main Street, 2
nd
floor
Lexington, KY 40507
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DISCLOSURE CONFLICTS OF INTEREST (Lexington-Fayette Urban County Government)

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Completed 3 August 2020

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