HomeMy WebLinkAbout2024 Clerk Lisa Gill Nepotism (State and Local) CITY OF JEFFERSONVILLE
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�FRsoNJ�v Jeffersonville City Hall
500 Quartermaster Court
Jeffersonville,Indiana 47130
ANNUAL CERTIFICATION OF ELECTED OFFICIAL TO THE EXECUTIVE OF THE CITY
OF JEFFERSONVILLE ON COMPLIANCE WITH MUNICIPAL NEPOTISM POLICY
INVOLVING DIRECT LINE SUPERVISION
I, Lisa Gill,the elected CITY OF JEFFERSONVILLE CLERK, of Jeffersonville certify that I have not
violated the City of Jeffersonville Nepotism Policy in hiring and supervision of IC 36-1-20.2, as amended
or supplemented, relating to my relatives' employment with the City of Jeffersonville as further
described in 2012-OR-29 document adopting AN ORDINANCE ADOPTING CONFLICT OF
INTERESTAND NEPOTISM LAW POLICY.
I understand that Relative means my spouse, parent or stepparent, child or stepchild, brother, sister,
stepbrother, stepsister, niece, nephew, aunt, uncle, daughter-in-law or son-in-law (including half-bloods
and adopted children). I intend for this to be submitted to the Mayor prior to the end of this calendar
year.
I hereby verify under the penalty of perjury that the foregoing statements are true.
Dated this day of,..i“f((CZ 1' , 2
(signat re)
(printed name)
CITY OF JEFFERSONVILLE
,,,'11,0 0 812-285-6400 office
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�RSC:ot4 Jeffersonville City Hall
500 Quartermaster Court
Jeffersonville,Indiana 47130
CERTIFICATION OF ELECTED OFFICIAL TO THE EXECUTIVE OF THE "CITY OF
JEFFERSONVILLE ON COMPLIANCE WITH MUNICIPAL NEPOTISM POLICY
I, Lisa Gill,the elected CITY OF JEFFERSONVILLE CLERK "City of Jeffersonville" certify that I
have not violated the "City of Jeffersonville" Contracting with a Unit Policy of IC 36-1-21, as
amended or supplemented, relating to contracts of my relatives' business interests with the"
City of Jeffersonville" as further described in 2012-OR-29 document adopting AN ORDINANCE
ADOPTING CONFLICT OF INTERESTAND NEPOTISM LAW POLICY.
I understand that Relative means my spouse, parent or stepparent, child or stepchild,
brother, sister, stepbrother, stepsister, niece, nephew, aunt, uncle, daughter-in-law or son-in-
law (including half-bloods and adopted children). I intend for this to be submitted to the Mayor
prior to the end of this calendar year.
I hereby verify under the penalty of perjury that the foregoing statements are true.
Dated this day of 341 )c.(0 , 20 .
(Signat e)
CIS , ) )
(Printed name)