HomeMy WebLinkAboutVOGEL, RICHARD & MARCIAGift to Agency Rep
1. Agency Name
City of Tustin
Division. Department, or
Library Fund
300 Centennial Way
-rea Code/Phone Nun
(714) 573-3010
-gency Contact (name and title)
Christine Shingleton, Assistant City Manager
2. Donor Name and Address
A Public Document
Date of Original Filing:
(month, day, year)
x^ Individual Vogel Richard and Marcia ~ Other
Last Name First Name Name
Address City State Zip Code
If "Other" is marked, describe the entity's business activity (if business) or its nature and interests.
If applicable, identify the name of each source and the amount(s) solicited or received by the donor for this gift:
Richard and Marcia Vogel $ 400.00
Name Amount
Name
Amount
3. Payment Information
Date and Amount of Payment (other than traver) 8/18/08 ~ 400.00
(month, day, year) (Round to whole dollars)
Travel Payment Information (Round to whole dollars) Location of Travel
Date(s) of Travel transportation Expenses ~ Lodging Expenses $ Meal Expenses $ Other Expenses $ Total Expenses
Provide a specific description of the nature and use of the payment for official agency business:
Donation -Library Fund
Identify the officials for whom the payment was used:
Last Name First Name Title Department/Division
Last Name First Name Title Department/Division
4. Verification
1 have determined that it is in the interests of the agency to accept this gift and use it for the official agency business described above.
~ ~ Christine Shingleton Assistant City Manager 8/28/08
Signature of Agency Head or De nee Print Name Title (month, day, year)
Comment: (Use this space or an attachment for any additional information.)
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GIFT TO AGENCY REPORT
For Official Use Only
Amendment (explain in comment section)
FPPC Form 801 (June/08)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866!275-3772)