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Councillor Martyn Conflict of Interest Form - November 9, 2021 CODE OF CONDUCT FOR MEMBERS OF COUNCIL FOR THE CORPORATION OF THE COUNTY OF ELGIN Appendix D Conflict of Interest Form COUNTY OF ELGIN Council Code of Conduct Tbmmz!Nbsuzo Name of Member: ______________________________________________________ Telephone No.: _________________________________________________________ Email Address: ________________________________________________________ Opwfncfs!:-!3132 Date of Council meeting: __________________________________________________ Agenda item number and name: Dmptfe!tfttjpo!jufn!$!4!pshboj{bujpobm!vqebuf General Nature of the Conflict of Interest: J!ibwf!qfstpobm!sfmbujpotijq!xjui!pof!pg!uif!joejwjevbmt!cfjoh!ejtdvttfe/ _________________________________ ________________________________ Signature of Council Member Date Received by County Clerk Page | 28