Gaud, Victor ON
PAMBFACHCOUN77 CITY CLERK
., CODE OFETHICS
:o ACKNOWLEDGEMENT
8 -'W"►o,-
Legal Name: 1� '� �i (Please print dearly)
Employee Idenhfiication Number: N/A
Agency/Municipallty: _ Boynton Beach oard: /2y// 41141-2
By signing this acknowledgement, I am attesting that I have done the foiiowing:
[VRead the Palm Beach County Code of Ethics Ordinance(Ctrl+Cliek tofo[lowr link
AND
Have completed additional training by viewing one of the following:
[L :l Code of Ethics Training Program on the IntmnetltnWrnst.(Csi+ciick to follow link)
[ ] The Code of Ethics Training program on Y_ouTuiae. (otrl+Cl1ck to fonow unit)
[ ] The Code of Ethics Training Program on DVD.
I l A live presentation given on
I understand that I am responsible for understanding and abiding by the Palm Beach
County Code of Ethics as I conduct my assigned duties during my term of employment.
1 also understand that the information in this policy is subject to change. Policy changes
Wil be communicated to me by my supervisor or through official notices.
(Leto sionature) (Date)
Advrswy Bow d Ambers: SubnWY s9wd forms to AWuprfate A&Mmy Board Represontaff"
PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE
PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS
300 North Dixie Highway,Suite 450,West Palm Beach,FL 33401
PHONE: 561.355-1915 FAM 561.355-1904
Hotline: $77.766.5920 E-mall: eddesfpalmbeacheountyethics.tom
)Website: =palmh ffid auntvethics-coM
Rev.0112017