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