MESA UNIFIED DISTRICT NO. 4 Purchasing Department 549 N Stapley Dr

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MESA UNIFIED DISTRICT NO. 4
Purchasing Department
549 N Stapley Dr
Mesa, AZ 85203
MEMORANDUM
TO:
Michelle Hamilton
Director of Purchasing
FROM:
SUBJECT:
Conflict of Interest
DATE:
According to A.R.S. §38-503 and Governing Board Policy GBCA, any employee who has, or
whose relative has, a substantial financial interest in any decision of the District must make this
interest known to the District. Therefore, I am submitting this memo to fully disclose the
substantial financial interest that I, or a relative, have in the following business:
Business Name:
Business Description:
Relationship with Business (owner or how related to owner):
Potential Conflict:
I acknowledge that I have removed myself from the decision-making process related to this
business. I also acknowledge that if I am the owner of the aforementioned business, I am
prohibited from doing business with the District unless the contract is awarded through
competitive sealed bidding.
In accordance with A.R.S §38-509, please maintain this disclosure on file.
_____________________________
Signature
_____________________________
School/Department
___________________
Position/Title
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