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TO: BOARD OF SUPERVISORS Costa
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FROM: Supervisor Federal D. Glover x o¢s County
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DATE: January 6, 20009
SUBJECT: APPOINTMENT YOLANDA COSTILLA DISTRICT V REPRESENTATIVE FOR SEAT B
OF THE ALCOHOL AND OTHER DRUGS ADVISORY BOARD
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)AND JUSTIFICATION
RECOMMENDED ACTION:
Appoint the following individual as District V Representative for Seat B on the Alcohol and Other
Drugs Advisory Board with a term to expire on June 30, 2010.
Yolanda Costilla
3225 Harbor Street, #22A
Pittsburg, California 94565
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON cwo APPROVED AS RECOMMENDED: OT-tR:
VOTE OF SUPERVISORS:
UNANIMOUS(ABSENT )
AYES: NOES:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY
OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE
ABSENT: ABSTAIN: BOARD OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
DAVID TWA,CLVK OF THE BOARD OF
SUPERVISORS
UPERVISORS,ANnD,COUNTY ADMINISTRATOR
BY
cc: Fatima Matal Sol-Substance Abuse Board Staff 'DEPUTY
Supervisor District V
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS OR COMMITTEES
APPLICATION FORM
(Application Form Must Be Typed or Hand-Printed)
NAME OF ADVISORY BOARD APPLYING FOR: {-f� CAVA [(Q S
Applicant's Name: C�DGnCG Cp S
Home Address: 322S 5E Az2-k Home Phone:
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Business Address: 231\ Lo��r ec��y e � Work Phone: qZS)� %6 _ y3 - G
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Signature: . Date:
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PERSONAL EXPE ENCE, SHILLS AND INTERESTS:
Education/Background:
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Occupation (student, for-pay work,not-for-pay work, retiree or similar):
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Community Activities:
Special Interests:
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INFORMATION:
1.. Mail completed application to: Supervisor Federal D. Glover,Attn: Lynn Reichard,315 East
Leland Road, Pittsburg, CA 94565
2. Members of some advisory bodies may be required to file an Annual Conflict of Interest Statement.
3. Meetings of some advisory bodies may be held in Martinez, or in areas not accessible by public
transportation.
4. Meetings may be held either in the evenings or during the day, generally once or twice a month.
5. Some boards assign members to subcommittees or work groups requiring an additional commitment of
time.