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Proxy Designee Form

South San Francisco City Council
May 10, 2023

Document
Proxy Designee Form
Meeting
May 10, 2023
Body
South San Francisco City Council
Original file
103 KB
Text extracted from the city's file for reading and search. Open the original on ci-ssf-ca.legistar1.com. That file is the official record.

TO: Sukhmani S. Purewal, Secretary
City Selection Committee
SUBJECT: Alternate to the City Selection Committee
I __________________________, Mayor of the City/Town of _____________________________, hereby appoint Councilmember __________________________________________, to serve as my alternate to the City Selection Committee meeting(s).

In the absence of my appointee, I then appoint: (Please choose one) Councilmember __________________________________ to represent me Vice-Mayor and each Councilmember in order of seniority (You must check only ONE of the following options)
My alternate is to serve for the:
meeting only
Date
duration of my term of office as Mayor
I do not choose to appoint an alternate
________________________________________ ___________________________ Signature of Mayor Date
Please return to:

Sukhmani S. Purewal, Secretary
County Executive's Office
Hall of Justice, 400 County Center, 1st Floor
Redwood City, CA 94063
Or email to [email protected] or bring to the meeting If you should have any questions please do not hesitate to call me (650) 363-1802 Updated on 12/2/2022

SAN MATEO COUNTY CITY SELECTION COMMITTEE
Rico E. Medina, Chairperson
Eddie Flores, Vice Chairperson
Sukhmani S. Purewal, City Selection Secretary
400 County Center
Redwood City, 94063
650-363-1802

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