received city clerk - pomona · agency report of: ceremonial role events and ticket/pass...

Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions

kgency Name

City of Pomonalivision. Department. or

Human Resources Department

Sandra Piva, Human Resources Manager

909) 620- 2004 Isandra piva@ci. pomona. ca. us

RECEIVEDCITY CLERK

blit Document

For Official Use Only

Amendment ( Must provide explanation in Part 3.)

Dale of Original Filing:

2. Function or Event Information

Does the agency have a ticket policy? Yes( 29 NO Face Value of Each Ticket/Pass $ 12- 14

Event Description Los Angeles County Fair Date( s) OJ 3 12 09 / 30 / 12

provide T lelExplanation

Ticket( s)/ Pass(es) provided by agency? Yes NoU

Was ticket distribution made at the behest No Yes)nof agency official?

Ifno: Los Angeles County FairName of Source

If yes: Officials Name (Lest, First)

3. Recipients

Uea Section A to identitythe agency' s department or unit. • Use Section B to Identify an Individual. . Use Section C to Identify an outside organization.

A. Name of Agency, Department or UnitNumber of

ncket( s)/ Describe the public purpose made pursuant to the agency' s policyPa.( es)

B. Name of IndividualNumber of

Ticket(5) 1 Identify one of the following: Passes)

Ceremonial Role Other Income

Refer to attached list of 1338Ae 9 sere ° Bmeo rxa aa, meeaew»

individuals

ceremonial Role Other lame

arlieckmp -eemmonbl FON' v-ONertlescrNe aeMw-

Name of Outside OrganizationNumber of

Tick. fe)I Describe the public purpose made pursuant to the agency's policyinclude address and description)

Passes)

4. Ver' ' cationIn;h or ad end un rat nd FPPC ogulations 18944. 1 and / 8942. 1 have marood that the distribution set forth above, ism accordance with the meuimments.

n Pau_ HR/ Risk Mgmt Director 09/ 05/ 12

Signoum 0Agercy Heed N Name Tate ( Month pay. Yead

Comment: FPPC Form 802 ( 4/12)

FPPC Toll -Free Helpline: 8661ASK- FPPC ( 866/ 275- 7772)

LA COUNTY FAIR TICKET DISTRIBUTION

Employees are ONLY allowed to pick their own tickets unless they bring appropriate release form.

rupCHECK ID.before releasing tickets.

Last.Name

ABDUL-RAHMAN

First Name

CAROLINE

of Tickets Date Signature

QABRAMS YVONNE—

ABUNDIS MARIA/

ACEVES

d

DANIEL

ACOSTA DEBRA

AGUTAR RICHARD

l

AGUILAR M. MAYELA

AGUILAR MARTHA

AGUIRRE '. TIM ZZ i lALCALA III EMILIO

ALCALA JR. EMILIO

ALCANTARA CARMEN

ALCARAZ JOSE

ALDARACA ABRAHAM

ALDECOA ALEJANDRA r4O a_

ALEMAN- RAMIREZ_ JORGE

ALEXANDER PAUL

ALLISON \ VELICIA

ANABTAWI NANCY Z Qof N J

ANDERSON ROBERT

ANGULO NORMA

IRODOLFOANTUNEZ

ARENDS LONA IS' L

ARREDONDO SUSANA

ASCENCIO MARINA

ASTORGA HECTOR

Kv-eAc\no YV\.(L'e\ CA, a--- . g -IS 1 2

y1

J

Last Name First Name o Tickets I Date{

fAVILA COLLETTE--

tti'

Signature

1

AVILES FRANK

AYALA ,r

AYALA

CARLOS

p KK ttii

ACKELINE1

BACA TOM

BAILEY JODY

BAKER TERESA

IBAKER ROBERT

BALDONADO NORBERT VI

BAPTISTA

BARAJAS

RICHELLE

JUAN

BARAJAS- GIL SONIA

BARAWID MELENCIO

BARKLEY WALTER

BARKLEY SYLVIA

I

BARLOW CHARLOTTE

BARNES CARLTON

BARNETT DEBORAH'

BARON DAVID

BARR DEBORAH

BARRIOS IRMA J/ 1// Z

BARRIOS ANTHONY

BARRON CHRISTINA

BARSU CARMEN

BASUA III CHRISa7

bL

BEBON ANDREW '

BECERRA CAMPOS JOSE

BECHET LEONARD

BECKER ICHARLES

0

Last Name IFirstName 1# of Tickets IDate Isignature

BECKER ' LENA

BELTRAN

BERGER

SANDRA

ERIC

BERGMANN TIMOTHY

BETANCOURT ROLANDO

BET -KEY SHERYL

BIDWELL MARY ANNE

BIRD MELVON—

BIRTCHER

BISCAYA JOE

BLAKE

BLANK

KENDRA

CHRISTOPHER

GY I Qj

BLANKENSHIP WILLIAM

BOLANDER PATRICK

BOLDUC MARIA• 7 g 1 y AI p,

BOLDUC BARRY Z

BOLTON

BORNER

DETRIA

AUDREY

b--- Z/

BORNER

BOSTROM

BOTTS

JAMES

ALYSSA

DELIA

Z Z

yea

A

BOWLER JOHN

BRANNON MELISSA

BRAUN MAXINE

BRINGAS

BRIONES

BRISENO

MELISSA

REYNALDO

JACQUELINE

IIi

BROWN

BURKE

DEON

MARIA 2- Q' 23- 7 _

ILU S Apo ZEL3

L- 13D. Irf ns; i•£: LfS . , g ao I Z Last Name First Name of Tickets Date Signature

BURKETT LAURIE

BUTLER

BYL

BYRNE

JAMES

TRACY

LINDA

q r

CABADA JAVIER

CABALLERO CHRISTOPHER

CABALLERO CARLOS

CABRERA

CALDERON

JOAQUIN

EDDIE

CALKINS

CALLAGHAN

CANALES

CANO

MARILYN

KAREN

JUANITA

MARTIN

CAPOGNI DON

CAPRARO IPAUL

CAPRARO

CARDENAS

CAMMA

JESUS

CARMONA SYLVIA kzICARRENO GABRIELA

7r,)

bl QIIC

1CARRIGAN SONIA

G o —

11CARVER JULIE Tl 0l

lr7l—

CASEY- AGGERS MAUREEN

CASILLAS

CASILLAS

YVETTE

SERGIO

CASTILLO RUBEN

CASTILLO JOSEPH

CASTILLO IMARSHA

CASTRO CLIFFORD

CASTRO DARRELa

i

a

Last Name First Name of Tickets I Date Signature

CASTRO PRIMITIVO

CATANESE ANTHONY

CERVANTES ANDREA

CERVANTES LEANDRO

CERVANTEZ OMAR

CESENA RICARDO

CHAMBERLAIN PAULA y _ GrG%G`

CHAN RONALD

CHAVEZ JOSE

CHAVEZ JUAN

CHAVEZ

CHEN

GABRIEL

CHI

Z

CHILDERS MATTHEWJ

CHOI

CHOLICO

ARTHUR

GILBERT

CICCO JANICE

CINCOTTA ICHARLENE

CLARY LISA z gJ'/ J- Un

CLIFTON CARMEN

CLUKEY WARREN

COLLINS JENNIFER

CONDIE CHRISTINE

CONGALTON STEVEN

CONLEY JASON

CONTRERAS f EDGAR

CONTRERAS LAURO

CONTRERAS AARON

CONTRERAS MICHAEL

COOPER DENNIS

7- 4

Last Name First Name of Tickets Date ISignature

COOPER TIMOTHY

COREAS SERGIO

CORMACK STEPHEN

CORNELIUS STACY_-

CORONA ROJASLUIS O ' / 4a

CORRALES I MARIO

CORREA EMMANUEL

CORREA RALPH

CORTEZ

COTE

MARIA

DON

Count: 699

CROSS MABEL

CRUZ JAVIER

CRUZ ALICE

CRUZ LUCY

CRUZ ARTURO.

CRUZ JAVIER

CUMMINGS DARRELL

CURIEL ROBERTO

CURRY ALEX

DAMICO

DAVID

COLLEEN

ROBERTA

DAVIS STEVEN

DE ALBA ROSA SC S Ge(f G

DE HATE ERIC z 51/L

DE LA PARRA KAROLINE

DE LA ROSA JUAN

DE LA ROSA JORGE

DE LA VEGA THOMAS

Is

Last Name First Name of Tickets I Date ISignature

DE LEO JOSEPH

DEASON DEREK 2, v_ ql DEFRANK

DEMONACO

BENITA

MARCA/ Jj// AaDEPOLIS JOHN

DEVEE ROBERT

DEWALD JOHN

DIAMOND SHAUN

DIAZ VLADIMIR

DIAZ - SALVADOR

DIAZ LUIS

DIAZ MARYyn

DIAZ NATALIE

DICKEY MARK

DIMALANTA RICHARD

DINH BILLY

DOCKSTADER RONNI

DOLGOVIN JOSEPH

DOMINGUEZ STACIE

DOYLE EARL

DUENAS DARLENE

DUENAS DANIEL

DURAN SABRINA

DYE JEFFREY

EASTMAN - REGINA

ECKEARD JENNA IO

EDSON JONATHAN

ELDRIDGE STEVEN

ELLIS MICHAEL

Last Name First Name of Tickets Date Signature

ERVIN SUSAN

ESCALONA KRIS'OPHERJ

ESCOBAR EDWARD

ESKANDARI ATEFEH JJL ZS- fZ

ESPINOSA DAMIEN

ESPINOSA GERTRUDE

ESPINOZA

ESTRADA

ESTRADA

ESTRELLA

DAVID

EVELYN

DAVID

ESTELA

ESTRELLA ROGELIO

ETHERIDGE MICHAEL '

ETHERIDGE R. MICHELLE

FALLON

FARIAS

PATRICK`

SAMMUEL i.

FARMER KENDRA

FEDORA

FERNANDEZ

ANTHONY

PAUL

FIGUEROA ALDO

FLOM CANDICE

FLORES ELIZABETH

FLORES CRISTINA

S

9- 1- 1I

FLORES FERNANDO

FLORES

FONG-

RUTH

RAYMOND

FOSSETT LETITIA

FRAUSTO DANA

FRAZIER KRISTIAN

FREEMAN GREG

Last Name I First Name of Tickets I Date Signature

FUENTES RUSEN

GAETA IEDUARDOGAETA ROSIE

GALLEGOS RAMON

GALVEZ PATRICIA

GARCIA NANCY

GARCIA JULIE

GARCIA MARIAGj v

fU2 /"

zc

GARCIA IGNACIO

GARCIA JESUS

GARCIA NANCY a 6 1411' G(/ 1(( p•

GARCIA MARIA

eJDJ C GARCIA JOSE If

GARCIA MANUEL

GARIBAY ALMA

GARIBAY RAUL

GARMAN PAMELA

GAUDIOSO MADELINE p yl/L

GAULDING CORA

GIBSON JAMES

GIRON JOHN

GLUBA MARK

GOMEZ JESSICA

GOMEZ DANIEL

GOMEZ MICHAEL

Z- Z01L

GOMEZ ORTEGA JORGE

GONZALES.

GONZALES SOCORRO

GONZALES MICHAEL I i

Last Name First Name of Tickets Date Signaturpi

GONZALEZ LILY 8p0%10

GONZALEZ TINA

GONZALEZ MARIA

GONZALEZ NOHEMI IGOVER LESLIE

GRAHAM BRETT

GRANDE GERARDO

GRANT JEFFREY

GREENE CANDICE

GRIGSBY DARYL

GRIMES KENNETH .

GUSS JAMES.

GUTER BRUCE

n

f C

GUTIERREZ SALINA 2 SIS

GUTIERREZ

GUTIERREZ

CAROLYN

EDUARDO Z L/ I' L

GUTIERREZ KRISTIAN

GUTIERREZ

GUTIERREZ

JAIME

PETER

GUZEK JOANN

GUZMAN MARIA

GUZMAN

GUZMAN

M ISABEL

VALERIE

HAGERTY BRIAN

HAMILL GREGORY

HAMILTON ERIC 2 E z I- I 5 l —

HAMILTON DAVID

HAMPTON TIMOTHEUS

HARMON NANCY

Last Name First Name I# of Tickets Date ISignature

HARMON LYLE

HARD PATRICIA

HARRIS JOHN

HARVEY PAUL

HAUPTMANN FRANK

HAWKINS, DEVON

HAYWARD JEFFREY

HEINEMEYER TIMOTHY

HELMS CLYDE

HENDERSON

HENDERSON

HENSLEE

KYLE

CHESTER

BRIAN

4I

HERNANDEZ

HERNANDEZ

HERNANDEZ

CARLOS

LANAE

ANNETTE

HERNANDEZ

HERNANDEZ DE CUEVAS

JOE

MARTHA

HERNANDEZ- ALVEAR CARLOS

HERNANDEZ- MUNOZ CECILIA

HERRERA ERIKA

HERRERA EMMANUEL

HERRING DOREEN lHESS

HOANG

SCOTS

KIM

j` pL̀

2-

HOBBY MONA lHOLMES ZANE 01 ' Z'%` 1

rr

l

HOLMES

HOLTZ

ROBERT

JENNIFER,

HOOKS IGISLAINE I e

e5se kc -d4 -L, _ lY , fs Z

Last Name First Name of Tickets Date ISignature

HORNBY BLAIR

HORTON NICHOLE

HOUR SOK

HOWARD CHRISTINE

HSU ADELAIDEL g1141 0

HSU CHRISTIAN

HURST JEANIEi

IBARRA ANTHONY 2-- l- 1A 1INTERLICCHIA JASON

IWIG ROGER

IZABAL ROBERT

JACKSON DAVID

JAUREGUI LISA

JENSEN CHAD

JENSEN BLAKE

JENSEN NANCY

JIMENEZPORFIRIO2 UO 2 3Ile

LJIMENEZ DANIEL G

JIMENEZ- COLAY LUI 1_

JIMENEZ- ROBLES LANI

JOHNSON BEVERLY

JOHNSON SANDRA c( c

JOHNSON BRADFORD

JOHNSON TRAVIS

JOHNSON DARYLLkI S;/

JOHNSON AMANDA

JONES KIMBERLY

JOSEPH THEOPHILUS

JUAREZ E' RISCILLA

0.

Last Name First Name of Tickets Date Si tyre

JUAREZ CECELIA

a

JUNG HARRY

KAY SHEREE

KEETLE

KELTNER

DAVID

MICHAEL

KILCOYNE KEVIN

KIMBRO JOHN 7,0- 12-

KITTMAN FREDERICK

KNIGHT WILLIAM

KOLLAR JUDITH

KREWSON STEVE

LAGUMBAY ALLAN

MAII _

LAM

LAMA SAUMAAVA

LAMBERT PATRICIA

CHRISTIAN

P25/LANDA G/lt

90/

0aLANDA DAISYa

LANGE MICHAEL

LANIER MONDO c72 OCL IJ' f / Jii="`_

LARA

LARRAGA

JOSEPH

OSEc;

2- P/ Z7/ 1z

Last Name First Name

LATERREUR ANDREW ;

LAZZARETTO MARK

LE BINHH I BIi I VLE PHIJONG

LEE ANTOINE 1LEE DAYNA-

LEE EDWARD

Last Name First Name' of Tickets Date Signature

LEE MICHAEL

LEE CHRISTOPHER

2LEE KAYING 1-

LEMUS LORENZO 7C

LEON JELIZABETH

LEONARD DUANE 2 0 2ll(yLEW CAMERON Q

LEWIS ANDREW 2 j/ jU'IZ

LEWIS CHRISTOPHER

LICEA MICHELLE

LINN JR ELIAS g Ltill?

LIU LI - PING

LLAMAS; LUIS

LLOYD

LOPEZ

ROBERT

LETICIA

LOPEZ LUPE

LOPEZ ADOLFO z- LOPEZ EVELYN

LOPEZ PABLO

LOPEZ JESSE

9Iy 12, LOPEZ RICHARD

LOPEZ ALFA

LOPEZ BEATRIZ d/

LOPEZ ISHMAEL

LOPEZ JOHN

LOPEZ- HARD WILFRIDO

LOWRY

LUNA

LINDA

KAROLVI

LUNA ANTHONY I I

Last Name First Name of Tickets Date Signa

LUNA HARALD2 8II' j 112

LYCETT-BUSH CAROLE 14 ' 1 LQ j

MACDONALD ADAM

MACHADO RICHARD

MACIAS MARIE11

MACKAY TIMOTHY

GMADRID IRENE

MALLORY MORGAN

MANGRICH

MARES

KATHLEEN

CARLOS

P 12 ilZMARISCAL- VELASQUEZ MAYRA

J212MARQUEZ DAISY

MARQUEZ MARIO

MARTEL MARIE

MARTIN DELANA

MARTIN DELANA

MARTIN STEVEN

MARTINEZ DAMIAN

MARTINEZ JAMIE

MARTINEZ RICHARD

MARTINEZ SHELBY

MARTINEZ JACKIE

MARTINEZ GABRIEL

MATA JUAN

MATAVAO ULA

MATAVAO EPATI

MATAVAO

MATHEWSON

SOPA

CYNTHIA vlZ3 f c

MATTHEWS GARYv •

Last Name First Name I# of Tickets Date Signature

MC CARTHY - TERRENCE

MC CORMACK DOUGLAS

MC DANIEL ADAM

MC DOW DONNA

MC FARLANE ROBERT

MCBRIDE JAMES

MCCRARY ROBERT

MCCRARY ROCHELLE

MCCRARY TIMMOTHY

MCDONALD RONALD

MCPHERSON TIM

MCWADE MARY

MEDELLIN MARK

r MEDINA HUGO V

MEJIA YOLANDA Orm-- MENDOZA ROGELIO

MENDOZA VANERIC

MERINO BEVERLY

Y

MEZA KAREN

MILLARD CHRIS\

MILLER RANDALL

MILLER IAIN

MITTLEIDER STEVE

MONTAGUE KENNETHI

MONTELLANO MAURA pZ

MOODY MICHAEL

MORAN DOROTHY

MORENO ERNEST•

MORRIS —" DARRIN 0- fZ

Last Name First Name I# of Tickets Date_ Signature

MORRIS HOWARD

MOWBRAY ANDREW

MOYA MAXWELL

MULHALL IROBERT

MUNDY GEORGE

MUNIZ CESAR

MURILLO EDGAR

v Z//

p,`

MURILLO ALFREDO i i 7

MURILLO ZORAIDA 8 '14IjZ 1 Ol C+

NAVA ESUS

2—

I

NEADERBAOMER MICHAEL ' Z 4. 2,,

NELMS SHARI

NEVAREZ ROBERT L/ 271L( Lt 1' j

NEWELL DEBORAH'

f

NGO DIANA

NGUYEN

NICOMEDE

MY

KENNIE

1

NINO

NOVELO

PATRICIA

DANEITE

OBENCHAIN THOMAS ZJ / Z

OKADA LARRY

CHRISTINA GOLACHEAOJ11OLIVAMARVIN

OLIVER ROBIN

OLIVIERI MICHAEL

O' MALLEY PATRICK

ORELLANA SHERI

OROSCO CRYSTAL

ORTEGA DAVID1 ' I


OSBURN DUSTIN

OSHAGHI ALISINA

OSMUNDSON MICHAEL

OSORTO ANITA

OUTLEY ROZALUTA

OVIEDO RUBEN

PADILLA THERESA lZ

PADILLA EDGARDI

PAGTAKHAN CHRISTIAN

Z E ( 2,[ 0PARASKA STACIE

Z igj) 2. PARTIDA JORGE

PASINI AMANDA

SPASINI CHRISTOPHER

PATINO SIJIy-

PATINO SIJIFREDO

PAUL SUSAN

PAULSON RANDALL

PAZ

PERAZA

STEPHEN

CARL 0s, d) PEREYRA SAUL

PEREYRA DAVID

PEREZ SERGIO

Z Cfd 1101 ZPEREZ ANTOINETTE

PEREZ LILIANA

PEREZ STEPHEN-

PEREZ MARCUS

GARY 2PEREZ

PEREZ- MONTOYA NISSA

vl` ` J

PERKINS 1PAMELA


PETERSON DOUGLAS

PIEDRA CLARAJ '-

PILARZ MATTHEW

PINKOSKY

PIVA

DANIEL

SANDRAQ

ZPOLIAKON LINDA y[// 2<=`==-

POMROY JOHN

POOL SINDY

POOL SINDY

PRENTICE STEVEN

I1 PUCCIARELLI ALAN

QUEZADA ARTURO C v

1l//e

Z, RAINES LARRY

RAMIREZ LUCYCASILDA

RAMIREZ CRIS "IAN s z3/ 12

z Z( O SRAMIREZ RONALD OI2 l RAMIREZ TOMAS

RAMIREZ VIDES KAREN 2 8-fq- 12RAMIREZ VIDES NORMAN

RAMOS. MARTHA RA Iry

RAMOS MANUEL JAI I_ RAMOS VAZQUEZ FERNANDO

RANDALL

RANGEL

RANDALL

ROSIEn

In

RATCLIFFE TREMALE

REYES VALERIE

BEVERLY b h L{ REYNA

REZA IJOE

RICH JANE I i


RICHARDSON DANIEL Z 12i` lG—

RICHARDSON JAMES

RICO ANDREA WAURIDEAU

RILLORAZA -

DAMON

ALEXANDRO

RIOS ERNESTO 2- Z I Z//• 2

RIVERA CESARZ,

RIVERA RALPH

RIZZO MARY

ROBBINS LOIS

JROBLEDO MARK

ROCHA LUIS

ROCHA CARRIE

ROCHA

ROCHA

GENOVEVA

ROGER

RODRIGUEZ MARIA

RODRIGUEZ ELIZABETH Z J u5

RODRIGUEZ RYAN

RODRIGUEZ BARBARA

RODRIGUEZ ADRIAN O` L

RODRIGUEZ MICHAEL

RODRIGUEZ HECTOR-—

ROJAS JASMINE

ROJAS VERONICA

ROMAN TIMOTHY

ROSS KIUESHA

RUIZ

RYAN- FLUKER

RYAN

BAMBI C9

SACCA FRANCESCO I

Last Name First Name I# ofTick ts Date Signal e

SALCIDO ALMAa1'

SALCIDO

SALDIVAR

ALBERT

YESENIA1. SALVESON HEATHER

I_

SAMPSON MATTHEW

SAMSON ROSA MARIA

SAMUELS TODD

SANCHEZ DAVID

SANCHEZ IHUMBERTOSANCHEZ JEFFREY o

SCHEPPMANN ROBERT

SCHEPPMANN DAVID

SCHMIDT ROBERT

ROBERTSCHNEIDER II

SCHUSTER MONIKA'

SEAVEY ROBERTA

SERPAN KENNETH

SHOPE

SIACUNCO

RICHARD

MARIA pO 3 L

SIDOW JOHN

SILVEY MICHAEL

SIMMONS CARL

SKORUPSKI LEEANN

SLOWIKOWSKI ALEXANDER

SMITH

SMITH WIENERWIENER 2_

SMITH TONY

SMITH JOHN

H- iG- iL I y . % SMITH PHILIP I

Last Name

SOSA

First Name#

MARIBEL

of Tickets ate

WnU

Ir + I

SOTELO

SOTO- NAJAR

CHRISTOPHER

ARICELA

SPILL MURIEL

SPRAGUE RICHARD

STANLEY

STEPHENS

STEVENSON

STIRES

PATRICE

KARA

TREVOR

GLENN

Z Cl_

pl1

G _

9-1

STONE

STONE

SHAWN

MATTHEW

Q

SUAREZ- MUNOZ

SUESS

SUGIKI

SUTHERLAND

SUTTON

CHRISTINA lfZ-

JAMES

GLENN

BRENDA

LAWRANCE

TAFOYA MICHAEL

TAMBURRO MELODY

TANADA SUSAN 1 fI Y J Wi

TAPIA ABEL

TAPIA ADAM

TAYLOR JAMES

TAYLOR JAMES

TERRELL HOWARD Z d fc - 12

THIBAULT

TORRES

NOEMI

ANGELA

TORRES

TORRES

MANUEL

FELIPE

O r TORRES REYES RAUL


TRIGO

TSAI

TUCKER

RUTH

TERRI

WILLIAM

6 / 2

111 v

TURPIN JENNIFER

UGARTE IDIANA

UGARTE TIMOTHY

URIBE JEROME

URIBE YVETfE

VALADEZ REBECCA

VALDEPENA ROBERT

VALENCIA MARIO

VALENCIA MONICA

VALENCIA

VALENCIA

NEAL

JAIME

Z Z

VANDENBERG MICHAEL

VANDERHEYDEN BRADLY

VARELA AMY

VARNUM

VASQUEZ

VASQUEZ

MICHAEL

ALICIA

ANGEL r

Q

8I3d '

VASQUEZ

VAZQUEZ

ROBERT

EDIL

v

VEGA

VELARDE

DARLENE

CARLOS Z41VELASCO

VELASCO

VENTO

VERA

VERDUGO

CARMEN

RODOLFO

DEBBIE

MARITZA

GILBERTO

0- Z I1 Z

1

All


VIERS ADAM

VILLALOBOS CONRAD

2 nnL- S- VILLANUEVA REGINALD

VILLARREAL

VONG

JORGE

DANNYp

WALLACE MARAe%-

WARD CAROL

WARD DAVID

WARM ANDREW

WASHINGTON IBETTY

WATKINS ROSE

WATKINS DANIEL

WATKINS CHARLES

WEAVER JOSEPH

WEAVER DAVID

WEIDNER LINDA

WELCH SHARON

WESTERN LISA

WESTERN IPAUL

WESTPHAL FRANK

WHITFIELD PATRICIA

WILKIN TIMOTHY h

WILLIAMS MYRA

WILT JANICE

WITTENBROCK DEBORAH

WONG JOAQUIN

WOOD KENNETH 5/%

WRAY STEVEN

StuG

YBARRA LISA

Last Name First Name 1# of Tickets Pate ISignature

YEH AREN

ZANE KAREN

ZENDEJAS LAURA a D IIAZHENG IAMY

or.c PE2 JLisn

ARy'v / J00 n

6ArL4-t 112- Q

Ivi I& q

c j- 12

7

ci Yl e

25

0 9

AUTHORIZATION TO RECEIVE L.A. COUNTY FAIR TICKETS

The below Police Department personnel authorize

to pick up their allotted Fair tickets from the Human Resources Department.

61 NDy PoopPrint Name)

201' qPrint Name) ( Signature)

Aur joI s EmcRPrint Name) r(SiatY) w ; rte

Print Name) ( Signature) 0

oAg gy-xA - , , Print Name) ( Signature)

VP111,Y) Print Name) Signature)

tit,tt-

Print Name) ( Signature)

I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees.

Hy4z U--74


Date; 8' t4- IZ


The below Police Department personnel authorize Laf1 CS


Erat VoLy\ AetAno%fdc.o. & 46Print Name) ( Signature)

Print Name)

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for' the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above enNAeyees.

La.Yu iPrint Name) rig nature)

Date: " 1/ 1'— ) 7-

AUTHORIZATION TO RECEIVE L.A.-COUNTY FAIR TICKETS



Print Name)

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Date: //`/// 2



to pick up their allotted Fair tickets from the

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Print Name)

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Human Resources Department.

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibi' ty if these tickets are lost

s. before I am able to deliver them to the above employee

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Print Name) `If'

Date: 0 — I -e%— / Z,


The below Police Department personnel a


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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsib lity if these tickets are lostbefore I am able to deliver them to the above employees.

Print Name)

Date: —/, q —/ Z

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The below Police Department' personnel authorize

to pickup their allotted Fair tickets from the Human Resources- Department.

Print Name) Sgnature)


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milI understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibi' ty if these tickets are lostbefore I am able to deliver them to the above employees.

X/wo YI / iP '2—lc C/ — Print Name) Oignatu

Date: f — /y / Z


The below Police Department personnel authorize DA lelto pick up their allotted Fair tickets from the Human Resources Department.

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees,--.,,

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Print Name)

Date:

AUTHORIZATION TO RECEIVE L. A. COUNTY FAIR TICKETS

The below Police Department personnel authorize SI M-ir q-{? to pick up their allotted Fair tickets from the Human Resources Department.

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employee

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Date: R—, f/ '?,— tlZ-




Print Name)

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Print Name)

Date: 2? —/ I/ /

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to pick up their allotted Fair tickets from the Human

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Resources Department.

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to pick up their allotted Fair tickets from the Hur

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The below Police Department personnel authorize Y % 22 FC Z 117c, f, 3to pick up their allotted Fair tickets from the Human Resources Department.

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Date: F— 16-- 12


The below Wastewater Department personnel authorize

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jhe below Public Works Department personnel authorize

1kerr, 5 to pick up their allotted Fair tickets from the HumanResources Department.

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lost Ibefore I am able to deliver them to the above emplo es.

Print Name) ( ignature)

Date: Z*— ( 6- 12,


Tie below Public Works Department personnel authorize

VAa4-(-; f C) (- r-, s to pick up their allotted Fair tickets from the HumanResources Department.

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above emplo ees.

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Date: g"- f& - 1Z




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Date:

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Sam L O rp K-11


The below Police Department personnel authorize Paul Capraro to pick up their allottedFair tickets from the Human Resources Department.

Michael Olivieri


Jennifer Collins r0aV --7Z, Print Name) ( nature)

Mike Ellis


Print Name)

Print Name)

Print Name)

Print Name)

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ye PAUL UPP-AR-6


Date: 6 - /Y—! Z


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The below Police Department personnel authorize ! J n0 \ ' 4" L S J


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Print Name)

Date: 3// Y-( /

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The below Police Department personnel authorizeI ! J t-AP

to pick up their allotted Fair tickets from the Human Resources Departent.


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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are losthefnra I am ahlP to rtaliver them to the above employees.

Print

Date: v

Signature)



to pick up their allotted Fair tickets from the Human

Print Name)

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I understand that I am responsible for the safekeeping and di; designated for the above personnel. I accept full responsibilitybefore I am able to deliver them to the above employees

AgCyS C- 61--OE7, Print Name)

Date: Q_I 4 l 1 L

of Fair tickets

tickets are lost


The below Police Department personnel authorize ri


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Print Name) (:

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Print Name) ( n ture)

Date; 9 ' `- 10

J


The below Police Department personnel authorize 100 MAOto pick up their allotted Fair tickets from the Human Resources Department.

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Date: 0W

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The below Police Department personnel authorize t' 1 CC X02( T' Zl vl;Zto pick up their allotted Fair tickets from the Human Resources Department.

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Print Name)

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Date: - 5 2Z \ t 2


The below Police Department personnel authorize I MkfiOf MtCyto pick up their allotted Fair tickets from the Human Resources Department.

Print N e) ture)

Print Name) ( ignature

E&, //"//, ePrint Name

Print Name) ( signature)

Signat e)

IROGER ILO (& Print Name)

Print Name)

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Date: ( , 1( Z

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Sig ature)


The below Police Department personnel authorizeto pick up their allotted Fair tickets from the Human

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The below Police Department personnel a


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uthorize i tt P LF— AN-D42A2


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I understand that I am responsible for the safekeeping and distribdesignated for the above personnel. I accept full respons ility if 0before I am able to deliver them to the above emplovei s. A

Print Name)

Date:/' /.

yv 5

Fair tickets

ats are lost


The below Police Department personnel authorize64 &!'-——

to pick up their allotted Fair tickets from the Human Resources D partment.

a, sl,)P % 5Print Name) ( Sign ture)

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if t e tickets are lost

before I am able to deliver them to the above employees!)„

Print Name) ignature)

Date: 2 2'




KSI SM uTIEP—P-FzPrint Name) ( Signature)


Print Name)

P2-CRU9 CHcn.

Print Name)






Date:


The below Police Department personnel authorize " 4^ to pick up their allotted Fair tickets from the Human Resources Department

M RfZ i ry kcc- n c i

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Print Name) ( Signatu )







I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore l am able to deliver them to the above employees.


I

Date: 271 2/


The below Police Department personnel authorize Lisa CMY-yto pick up their allotted Fair tickets from the Human Resources Departme t.

Print Name)

Print Name)

Print Name)

Print Name)

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Date; dd I"Z"

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The below Police Department personnel authorize , 4 / J ._/ to pick up their allotted Fair tickets from the Human Resources Department.

cJCG1A2bu l :: zPrint Name) ( Signat re

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I understand that I am responsible for the safekeeping and distribution of Fair ticketsdesignated for the above personnel. I accept full responsibility if these tickets are lostbefore I am able to deliver them to the above employees., 7

Print Name)

Date: ll


The below Police Department personnel authorizer /,- D //


Print Name)

Print Name)

Print Name)

Print Name)

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Signature)

Signature)

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Signature)

Signature)

I understand that I am responsible for the safekeeping and distribution Fair tickets

designated for the above personnel. I accept full responsibility if thes ckets are lost

before I am able to deliver them to the above emolovee

Print Name) ( Sig

Date:


The below Police Department personnel authorize SU V I a Ccv " oll ito pick up their allotted Fair tickets from the Human Reso es Department.

Print Name) I ( Sign ture)

Print Name)

Print Name)

Print Name)

Print Name)

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Signature)

Signature)

Signature)

Signature)

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Print Nbme) ( Signa ure)

Date. 0/ "/




Print Name)

anoy-ed kPrint Name)








Date:


The below Police Department personnel authorize t7 L A R -ft- P 18- 0 1? - 6to pick up their allotted Fair tickets from the Human Resources Department.

Z)Qj) r0 1., )/ L7 4 2t/ ! ozZ-7G

Print Name) ( S' ature)








C L_A2-FE P1 n LAPrint Name) ( Signature)

Date: 9— a -o l d—


The below Police Department personnel authorize et L. A R.A- 1" t F -1) 9Ato pick up their allotted Fair tickets from the Human Resources Department.

D r o\ r M. M o r a N n# M- YY7m , Print Name) ' ( Signature)

o n- / L-vi. Print Name)

n

Print Name)

Sl xr( Ivp InnsPrint ame)

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Print Name)

Print Name)

C c(VJC2. coree- ' - C, &. Print Name) ( Signature


C LA- g -A- 101 E Gni, Print Name) ( Signature)'

Date: 8 - 90- 11-

Fair Tickets Sign -Out Sheet

Commissioners

First Last of Tickets Date Signature

Candace Barry 20

l

Daryl Beans 2

Antonia Brookshire 2

Rochelle Bryant 2n

Diana Butcher 2

Andi Cam ognone 2

Manuel Castille' os 2

Kenneth Cottle 2

Dena Davis -Island 2

Frank Delgado 2

Douglass Dorado 2

Peter Dumaual 2

Demecio( Mitch) Elias 2

NAJuan Carlos Garcia 2

A/ /

t l(/ - Cz1

Ethel Gardner 2 Z

Carlos Go tia 2 j 9 ! I 17 1ZAnthonyGranillo 2

Valerie Guzman 2

Vicki Hahn 2 r / 7 4

Maricruz Hernandez 2z /

7/ 1 i

Mary Hurtado 2

Arturo Jimenez 2

Kimberly Johnson 2

Kathleen Jones 2 C' 0 / 1

Daniel Kelly 2 54 o(/

Page 1 of 2

Fair Tickets Sign -Out Sheet

Commissioners

First Last of Tickets Date Signature

Bao Tam Le 2

Nancy Leanos 2

Jacqueline Macias 2

Douglas Malo 2

Stephanie Marin 2 3U/ I Z

Debra Martin 2

Joy IMcAllister 2

Veronica Michalowski 2

Edgar Miranda 2

Joseph Mladinov 2 O8 21 JL

Cindy Moore 2

Denton Mosier

2HelenMosierMosier 2 I L 1

Jerry Perez 2

Rebecca Ramos 2

l

Adriana Robledo 2

Michael Schowalter 2

Edward Starr 2

Mario Suarez 2 ZL

Larry Taylor 2 I

Robert Torres 2

Page 2 of 2

received city clerk - pomona · agency report of: ceremonial role events and ticket/pass...

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