Item C45
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: March 20, 2002
Bulk Item: Yes [8] No D
Division: Administrative Services
Department: Grants Administration
AGENDA ITEM WORDING: Approval of appointments to The Community Task Force.
which will serve as an advisory aroup for the upcomina Monroe County Community
Health Initiative.
ITEM BACKGROUND: Appointment of Community Task Force specified in proposal
submitted to BOCC July 31,2001.
PREVIOUS RELEVANT BOCC ACTION: Approval of fundina for study of Monroe
County's health care needs at July 2001 meetina. approval of contract with Health
Council of South Florida at December 19. 2001 meetina. and approval of amendment to
contract at January16, 2002 meetina.
CONTRACT/AGREEMENT CHANGES: not applicable
STAFF RECOMMENDATION: Approval
TOTAL COST: $45.000.00
COST TO COUNTY: $45,000.00
REVENUE PRODUCING: Yes D No [8]
BUDGETED: Yes [8] No D
AMOUNT PER MONTH
YEAR
APPROVED BY: COUNTY ATTY [8] OMB/PURCHASING [8] RISK MANAGEMENT [8]
DIVISION DIRECTOR APPROV~ - ~ ~f2, _ l
James L. Roberts
DOCUMENTATION: INCLUDED: [8] TO FOllOW: D NOT REQUIRED: D
DISPOSITION:
AGENDA ITEM #:
eyes--
Monroe County Board of County Commissioners Meeting
July 31, 2001
Tlte Monroe County Community Healtlt Initiative
0'-
Presenters:
Liz Kern, HCSF Board of Directors and Executive Committee
Sonya R. Albury, Executive Director
Lourdes Gonzalez, Healtlt Planner
I. Introduction
A. Health Council of South Florida, Inc.
B. Professional Health Planning Staff
C. Past Accomplishments/Contributions
II. Project Purpose
A. Regional Assessment
B. Community Engagement
C. Qualitative and Quantitative Data
D. Data Based Decision-making
III. Scope of Work
~ A. Community Task Force
B. Work Plan Development
C. Secondary Data Collection
D. Consumer and Provider Focus Groups, Community Meetings
E. Verification of Provider Data
F. Compilation and Analysis of Data
G. Report Development
H. Action Planning and Recommendations
IV. Principle Deliverables
A. Community Health Profile
B. Community Perspectives Report
C. Final Recommendations and Action Plan for Monroe County
V. Timelines
VI. Benefits/Outcomes
I. Insurance
2. Primary Care
3. Secondary Care
4. Transportation
5. Community Education
6. Grant/Resource Development
VIII. Concluding Comments
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HEALTH COUNCIL
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March 7, 2002
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Mr. David P. Owens
Monroe County Grants Administrator
1100 Simonton Street, Room 2-210
Key West, FL 33040
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8095 NW 12 SIreet
Suite 300
MiIm~ A. 33126
Tel 305.592.1452
Fa 305.592.0589
www.heallhclluncl.arg
e-1lIaiI hcsfOheallhCllUllcil.org
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Dear Mr. Owens:
As per our conversation, the Health Council of South Florida is in the process
of establishing a Community Task Force to serve as an advisory group for the
upcoming Monroe County Community Health Initiative. The Health Council
along with its nominating committee, formed by members of the Health
Council's Board of Directors whom are Monroe County residents as well as
suggestions made by local providers, generated a slate of members. The
proposed slated was later presented at the Monroe County Community Health
Initiative Inaugural meeting held on February 25, 2002 in Marathon.
Participants of this meeting reviewed the proposed list and offered two
additional names. These individuals have been contacted and one of them has
already agreed to serve on the Task Force, thereby bringing the total number
of members to date to 20.
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The Health Council of South Florida hereby presents the attached roster and
applications to the Monroe County Board of County Commissioners for
official appointment to the Monroe County Community Health Initiative at the
next County Commission Meeting. A Chair and Co-Chair have also been
selected by the potential members and were unanimously approved as follows:
Chair, R.C. Jake Rutherford, M.D., Director, Monroe County Health
Department; and Co-Chair, Keith Douglass, Rural Health Network of Monroe
County, KidCare Director.
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Please feel free to contact me at (305) 592-1452, Extension 107 should you
need any additional information on these nominations.
Sincerely,
Lourdes Gonzalez
Health Planner
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0lIicers
Deborah Mash, Ph.D
0lIif
Rev. Jom WNle
lob 0lIif
Paul GU:k, M.D.
~
EIlI1a del Vale
s-.v
BoIId Membll$
CI1aIIes GIay
Liz Kern. R.N.
Michael L1nnon
Manuel Pi1eiro
Debbie Premaza, R.N., 8.S.N.
Am ROOde
Max 8. Rothman, J.D., LL.M.
Sleven Sonenreich
Ex8cuIift IJir8clur
~ R. AllllIy
All Equal ~ fmpIayer
MONROE COUNTY COMMUNITY HEALTH INITIATIVE
TASK FORCE COMMITTEE
MEMBERSHIP ROSTER
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Julio A vael, City Manager
City of Key West
525 Angela Street
Key West, FL 33040
Tel: 305/292-8100
Fax: 305/292-8234
E-mail: Javael@keywestcity.com
Liz Kern, R.N. (pending application)
Hospice of the Florida Keys, Inc.
1319 William Street
Key West, FL 33040
Tel: 305/294-8812
Fax: 305/294-9349
E-mail: lzkem@aol.com
AI Brotons (pending application)
EMS Battalion Chief
490 63 Street, Ste. 170
Marathon, FL 33050
Tel: 305/289-6004
Fax: 305/289-6336
E-mail:
Meylan Lowe- W atler
Lower Keys Medical Center
5900 Junior College Road
Key West, FL 33040
Tel: 305/294-9200
Fax: 305/294-8065
E-mail: meylan.lowewatler@lkmc.hma.corp.com
Cheryl Cottrell, R.N., VP of Nursing
Mariner's Hospital
91500 Overseas Highway
Tavernier, FL 33070
Tel: 305/853-1651
Fax: 305/853-1581
E-mail: cherylc@bhssf.org
Julia Pranschke
81925 Old Highway
Islamorada, FL 33036
Tel: 305/664-4258
Fax:
E-mail:
Keith Douglass
Monroe County Rural Health Network
P.O. Box 4966
Key West, FL 33041
Tel: 305/517-9002
Fax: 305/517-9004
E-mail: kidcare@keysconnection.com
Debra Premaza, Director of Nursing
Lifeline Home Health Care
92300 Overseas Highway
Tavernier, FL 33070
Tel: 888/968-9509
Fax: 888/968-9508
E-mail:
Tracey Greene
Plantation Key Convalescent Center
48 High Point Road
Tavernier, FL 33070
Tel: 305/852-3021
Fax: 305/853-1062
E-mail:
David Rice, Ph.D.
CTC/Guidance Clinic of the Middle Keys
3000 41 SI Street, Ocean
Marathon, FL 33050
Tel: 305/289-6150
Fax: 305/289-6158
E-mail: drice25578@aol.com
Jim Gustafson, M.Div. (pending application)
Pastoral Services
Mariners Hospital
91500 Overseas Highway
Tavernier, FL 33070
Tel: 305/852-4418 X. 8058 or 841-1586
Fax: 305/
E-mail:
Rick Rice, Administrator
Fisherman's Hospital
3301 Overseas Highway
Marathon, FL 33050
Tel: 305/289-6401
Fax: 305/743-3962
E-mail: RickRice@fh.hma-corp.com
Joan Higgs
Bayshore Manor
22 Beechwood Drive
Key West, FL 33040
Tel: 305/292-4533
Fax:305/292-4477
E-mail: bayshore@mail.state.fl.us
Charla Rodriguez (pending application)
Department of Children and Families
1111 12th Street, Ste. 310
Key West, FL 33040
Tel: 305-292-6745
Fax: 292-6809
E-mail: charlamac@aol.com
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Jake Rutherford, M.D., Director
Monroe County Health Department
5100 College Road
Key West, FL 33040
Tel: 305/292-6894/293-7544/293-7543
Fax: 305/293-7544
E-mail: robert_rutherford@doh.state.fl.us
Debra S. Walker, Ph.D.
Monroe County School Board
68 Bahama A venue
Key Largo, FL 33037
Tel: 305/453-9683
Fax:
E-Mail: walkerd@monroe.kI2.flus
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Commissioner Dixie Spehar, District 1
Monroe County Board of Commissioners
310 Fleming Street
Key West, FL 33040
Tel: 305/292-3440
Fax: 305/292-3466
E-mail: boccdisl@mai1.state.fl.us
Robert Walker, Executive Director
AIDS Help, Inc.
P.O. Box 4374
Key West, FL 33041
Tel: 305/296-6196
Fax: 305/296-5337
E-mail: walkerbt@aol.com
Louis La Torre, Director
Monroe County Social Services
1100 Simonton Street
Key West, FL 33040
Tel: 305-292-4573
Fax: 305-292-4517
E-mail: mcssw(@mai1.state.fl.us
Jane Mannix-Lachner
Monroe County Prison Health Services
Tel: 305/293-7376
Fax: 305/293-7385
E-mail: 363hsa@asgr.com
INTERESTED PARTIES
Reggie Paros, Director
Monroe County Public Safety Division
490 63rd Street, Suite 140
Marathon, FL 33050
Phone: 305/289-6002
Fax: 305/289-6013
E-mail:
James L. Roberts, County Administrator
Monroe County
5100 College Road
Wing II, Room 212
Key West, FL 33040
Tel: 305/292-4441
Fax: 305/292-4544
E-mail: ilrobert(cvmai1.state.fl.us
Anthony Culver, Director (pending application)
Marathon Teen Center
P.O. Box 500836
Marathon, FL 33050
Tel: 305/743-4164
Fax:
E-mail:
Ilene Quinn
926 Yz Virginia Street
Key West, FL 33040
Tel: 305/296-8033
Fax: 305/296-7066
E-mail:
HEALTH COUNCIL OF SOUTH FLORIDA
Sonya Albury, Executive Director
Lourdes Gonzalez, Health Planner
Health Council of South Florida, Inc.
8095 N.W. 12th Street, Suite 300
Miami, FL 33126
Tel: 305/592-1452.
Fax: 305/592-0589
Email: salbury@healthcounci1.org
Igonzalez@healthcouncil.org
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~- .-OZ~ 1 1~ T~AM~CI~Y Managers O~~lce
HEALTH COUNCIL
;3052.928234
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CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNlY
HEALTH INITIATIVE TASKFORCE
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(Ci ,Stare Zip lode)
RESIDENCE ADDRESS -.ll2() ..j tJhl1~o"" ~
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MALE ./._.FEMALE
NAME:
BUSINESS ADDRESS
TEL:
3oS- 7tJ-K }O()
3tf) (}q;).-8;J3tf
FAX:
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EMPLOYER:
IF CORPORATION, INDICATE TITLE & DUTIES:
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PERTINENT BIOGRAPHICAL INFORMATION:
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I, (candidate's name) , a citizen of the United
States, a duly qualified elector Oade County, would, if appointed, be willing and able to discharge the
responsibilities and functions of member of the Monroe County Community Health Initiative Taskforce. I
declare that I do not serve on another boiud, agency or advisory group created and/or funded by the Dade
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03/07/02 18:46 FAX 305+262+9905
z- ~-OZ; 1 t; l~~M;CI~Y Managers O~Tiee
HEALTH COUNCIL
;30SZ928234
~06
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JULIO A VAEL
1720 Johnson Street
Key West, Florida 33040
Pbone(30S)293-QS89
EDUCATION
. Master of Public ..4dm~..tndian- Nova Uniwnity
. Bachelor ofSdcnce Degree<:ri:minal Justi<:e-FJorida IntemationaI University
. Sc:nior &ecutive Prognm in Public Administration-Harvard University
EXPERIENCE
CITY 011' KEY WEST- CITY MANAGER-l9961D pn!&DIL
> The City of Key West is a comrnissionlmauager form of government with . popuIBIioo of28,OOO; plus as
JDIUI)' as 4O.ooo~-tD:-tcwist-season.-R5p(lnsibilities-inc:lude-tbe~af..""ftdt"-- -_____
service city including the operations and ma:nagemem of: Historic Sea Part. Garrison Bight. auise ship port
opaatiam. fire. police. public works, transportation, nn.nce. tmm.Il resounzs. nb,irl-.. p.m aDd leCI'eIItion,
information systemS, Jocal.rcdevclopmcat autbarity, planniug. building sc:nia:s. training and ~...
sc:rv1ce&.. Staff-..~ total. over 560 and the city's budget is SIB miltioo; ICRIlI'lIl budp is $33 million.
ACIIIEVllMENTS
· Signifiamtly impnM'Jd the code euforcemeot and builc6ng departmems' performance IUd eI.in1iDBb:d the
"image of c:onuptioo" that prevailed in the early 19908.
· Established an in-house tutoring program tor code enforc:emeat ofticc:n end liamsina oftic:as. enabling tile
dcputman to ~ qualified ancJ.fic:ensed aaft'.
· Presented budgelS at roB back. maint:eoanc:e and at ~Iaoced levels to the city commission.
· Estabtisbcd c:itywide SUIDIDiQ in which business Jeeders. associates aod. rcsidarts plan few the future oftbe city
and established die city's mission and vision and strategic plans.
. F.stabUsbcd . pa....iudop with cruise ships.
DOUGLAS ~UNTY9 NEVADA-COUNTY MANAGD-199J 10 1996.
> Dougtas Couuty is a ('r.nrni!llJicxIImanatF form of govemmcnt. I was &~UHc focthc ~ ofa fUU
sc:n-ic:e county cunprised of36,OOO population. including LsJce Tahoe ill Nortbwat NcY8d&. Counry sUfF
members totaled 423 employee.s lIIId the budget $70 million. ~Of: ~ rn...L~ public wens.
community dI!veIopmcm:, penameJ, cJep.rtment oltbe comptroUer, communic:aticJas and ~ ~
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ent ~y: B 0 C C;
HEALTH COUNCIL
1 305 289 833Bj Feb-17-0211;37;
~07
Page 2/2
Please indicate in the space proviO...d belm" your interet't and availability to sorvo
on 1.hc Monroe Coumy Commuaity HcaJth Initiative Task force. The Tn" Fun:e
pluns to meet on a bi-monthly basis uvcr the next Ylmr. YllUl response sbouJ~ be
r""cd to the Health Council at (305) 592-0589 by february 12. 2002.
y u.'i~ T ,,'ill be able to se:('Ve
No, 1 will nol he able to serve
No. I wjU not be able to serve but I can suggest somCOIac
in my place:
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3D~ ze."'(- hoott. .
Phone:
Thank you for your time and consideration. If you have any qllClttiollR, pJcae do
DOl hesitate to contact me, at (305) 592.1452. Extcmsion 107.
SinQCRly.
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Health Planner
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03/07/02 18:46 FAX 305+262+9905
HEALTH COUNCIL
~08
CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNTY
HEALTH INITIATIVE TASKFORCE
NAME: C,ijt;//..'1L ~.. (JO 77/L6Ll-
BUSINESS ADDRESS q,I:J-O{) 6V4/J(_o;;.llJ.~ YwV'
~ (Street)
IAt/ellA.liGfi. FL. .J~ '10
(City, StatJ Zip Code)
RESIDENCE ADDRESS If (l1JiUJ MG II-.
1f'e L:;;'~ FL. ~-~
Y (City, Sfute Zip Code)
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TEL:~IJS) 153 -J~5 J
FAX:~(6) 853 - /58/
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TEl(.jb~ 45/-4901
FAX:
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MALE FEMALE V-BLACK CAUCASIAN t,...;' LATIN
EMPLOYER:---'l1..IJeJNG~ /k&p; TA-t- .
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NATURE OF BUSINESS/PROFESSION: ''''
IF CORPORATION, INDICATE TITLE & DUTIES:_ 'JfJ.
AGE 60 OR OLDER
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PERTINENT BIOGRAPHICAlINFORMATION: JIflVfft h~ed 11'\ ilPP61L KCY.,g S R~ 1961.
An IW M.- 5~6AIC.G ;,J ~ f!A.rot., ~f ~ I&t.-J t'J.L/lIG,J"'r
~;,Jto ~I1\IN"srR.MIOM. k II yu. !h,yf/ ~,./;~kI 111
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C~AlTT: lFt-. Keys ~.. Am &.ri\JE i AJ ~ll!,l-l ttf"b~Af-'D~.
I, (candidate's name) CI-f6Il..YL A. t!.t,T7fl6:.LL , a citizen ofthe United
States, a duly qualified elector of ,would, if appointed, be willing and able to discharge the
responsibilities and functions of a member the Monroe County Community Health Initiative Taskforce. I
declare that 1 do not serve on another board, agency or advisory group created and/or funded by the Dade
County Commission. 1IoA)1lJ(; lUJry
C}.".. 02/, ~ I
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OJ/07/02 18:46 FAX J05+262+9905 HEALTII COUNCIL
Jan 22 02 07:3Ba RURAL HEALTH NETWORK (305)293-7570
@09
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CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNTY
HEALTH INITIATIVE TASKfORCE
NAME; Ke-~ D~</ <#,;J:-A .:!is
BUSINESS ADDRESS "tJ. ,(). ,5.P>C P 32
(Street)
L, A(~ . H.. 33~{)1
City, State Zip Code)
TEL: 31JS-=- $77-JP~~
FAX: 3?s-- 5"17-...P~D y
RESIDENCE ADDRESS //.3 ~.../'6A/ /", - TEL:.3 OS--~~f1&-J?iI~
-!Street)
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-- __uJ<;:!!Yt State Z.!l!._~.Qdef __ _ ____ __ ____ __ _ ____m______ _ ___________ _____________ ___ ___ ____
MALE ..,/ FEMALE BLACK CAUCASIAN /' LATIN AGE 60 OR OLDER
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EMPLOYER: ur4L & ..:z-~.
~ ~ ~ ~/"f <- ':1 RL~JI'11~.s; .J'!i
NATURE OF BUSINESSIPROFESSION:.,..,,, ~ eM. A.---AlIrL'c .....-r
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IF CORPORATION, INDICATE TITLE & DUTIES: A-5 k:b/J.-.# "A,~~ .....z- ~NW'~
:4JL ,Jj~,~ /~ 'ALCL.,'J>;/ ~(!.L.vb~n, ~r",,"~~., e~r ~~L)
5"VV'~ IA ~~~~L.,~ RJ!h ~:L.,'~~ tY.uh~
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PERTINENTBIOGRAPHI<:ALINFORMATlON:Y.,fe ~t//J4ft ~~ /!/~
fJ"'9;A#?IJ ~ ~P' f1 ~tb7/"K, av~~1
;r ~ ~A1--4v~7j:t. /.l7"J?~"'~ t;.."",,"3'f/h~ r:::J
L'.5 ~ . ~~/?~ ~~ ? ~~..A;~ M,,~~cS'~
~1'--~7 ?A4~_.4R.Tt:J.aMm, "~e;x ~ J'-a _
7>1J. ~~ !A- t:?d ~ (b-v"Cll.. ~- d 7Ae; v#-'rlj'
rM/~ .:r e> S~ ~:$ ~~ I'J'i-U
fJc1kCI!-I'.I~>>" $' t'-~ ~O;~~ ~1':""; ·
I, (candidate's name) /("/1.;7"#-/.2) t9<< ~ ~-- U , a citizen of the United
States, a duly qualified elector of Dade County, would, if appointed, be willing and able to discharge the
responsibilities and functions of a member of the Monroe CounlY. ommunity Heal Initiative Taskforce. I
decJare that I do not serve on another board, agency or a i group' funded he Dade
County Commi~on_
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03/07/02 18:46 FAX 305+262+9905
Jan.!I. 2002 12:41PM
HEALTH COUNCIL
No.1428 P.4
~10
CANDIDATE FOR 'NOMINATION TO SERVE ON THE MONROE COUNTY
HEAlTH INITIATIVE TASICFOIlCE
NAME: ..:rrn r:...v Gr,-p ~ _
BUSINESS ADDRESS
t)
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(City, Stlb; Zlp Code)
RESIDENCE ADORESS 5~ Uh.h~~~'lf JOys Or i \l~
<StreetJ
~~ :cf~~~l>~().~9
MAlE _ FEMALE ~ BLACK _ CAUCA.SIA~. .u_ .,.,.....~.!I~ _.~Cj_600Jt_QL~ ___, _..___~ _____
EMPLcWE~~'~~-~~~~teL~1")1 CCONr..- !
NATUREOFBUSINESSIPROFESSION:-WtJr~~O"Vt. I~ C~"r -.,
IF CORPORATION, INDICATE TrTLE" DUTIes: . .
ruJ(~\~, r~ponSl bJ.e...-=I:h,.. a\L.cJ'~lCO~ .pi-honC"i~l:~;d or- ,
{'('O~ Q~c:..~ nV('yQ\j. if") !:he.~" ~~.
PERnNENT 810CRAPHlCAL INFORMATION: -PriOr 10 ~Vi ~{)n~
C n l~ '" 1991..-.:I: I j """" ~ '" ~Vchia1 r i C. en r:e -l.n; ~
!.nr..... o~ n ~Qrs Il" ~N> EIoricla~~n~~..I
\-1nv~ ~n ~ ~"'~I~~biQb:s ,c,IDo'
~cz. ~r-dJ. \-v)1I~ hnrUd if' ~ oul.o.f.~ ~~+';:_
~~~~:';:~:~~,
~t'JP (Qlnty..Pnmi. OO<il1lJlY'ftnu.~ ('~;:~;; :=
O(~tl,zatiOOS .
I, (candidate'. name> Trnr~ J76t'P'~ , a cJtJZI!In of tne United
States, a duly qualified elector ~ County, would, if appoInt8d, be willlna and abl. to dtldtarp the
responSibilities and functions of a member of the MOI'Itoe County Community HuIth Initiative Taskforce. I
dedarw that I do not serve on another board, apncv or acMlOtY grolIp aeated and/or funded by the o.de
County Commission.
TEL: ~ 8~~. ~D:)~t.~8o
FAX:.30S- Sl~3-lOIGa
TEl:
FAX:
--1:J.) ..O~
DATE
~r'6'
ATE'S IGNA TURE
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02/14/02 10:28 FAX 305&529420
HEALTH COUNCIL
MARINERS Rasp
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Please indic8te in the space proVided below YOW" interest and availability to serve
on the Momoe County Community Health Initiative Task Force. The Task Force ('....'
plens to meet on a bi-mcmthly basis over the next year. Your rapoD8e &bould be 1
faxed to doe U_ Cmmcil .. (305) 592-0589 by Febmuy 12. 2002. So ~ "~..,...."':) .
~.,
~,~
v cs., I will be IIble to serve
No, J will not be able to serve
~
o
o
No, I will not be able to Ilerve b~ I can mgge5t someone
in my place:
-- - ----:,:... o~::-:~::~:~ ~~= - --.--..-------------- ----------
c;!I' ,
Phone: ~O ~ - 8'.s '2.,. ~ '+, ~ ~~. Be&9
~..,.., :JC).1;'- W'fl- lS yo,
1'luIDk you for your time 8Dd colWderalion. If you have any questioos, please do
not hesitIdID to c:ontllct ma.1It (305) 592-1452, EJrteI1Qinn 107.
Sincerely,
f(w-~
Lourdes Gonzalez. BHSA
Health PIlUmer
[
f
03/07/02 18:46 FAX 305+262+9905
Feb-ll-02 07:24A Bayshore
.... 11 fl.n .11 iI
Manor
HEALTH COUNCIL
292 4477
~12
P.02
" ,t i".. ,_ . ... '...-.~'" _. .
, '.~I' j '~" <I . .I~ 11-'" -It ~I
CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNTY
COMMUNllY HEAlTH INITIATIVE TASKfORCE
NAME: J"" C'('\n t-l; 55 s
BUSINESS ADDRESS 5~ Cc IleC')e Kd
(Street)
~'f Wt"3+. t=L 33Q~
(City, State Zip Code)
TEl: "3~S - 2 q2 -If.-S 5.3
FAX: it:'S- 'l..Cf2- 4477
RESIDENCE ADDRESS '2 z. 13e e ~ u.)~ ~ h ~. TEL: 3t'~-. ~..,~ - Z-2. 92-
(Street)
Ke:X uJ~~+; F"L ~y.o fAX:
_.. ___ __ _ ___ ___ .___p__ __(~ity, State Zip Code).____ _______ __ __ _____ ________ ____.._________..________ _________________
M<\lE _ FEMALE ~ BLACK _ CAUCASIAN 1- LATiN _ AGE 60 OR OLDER_
EMPLOYER: JV) C rl ~ ~~ Gu ~ t- y
N^TUREOFBUSINESS/PROFESSfON: As~ls+ed LIJ.~~ AJ"",;",ls"""'~~ I R,.,)
IF CORPORATION, INDICATE TITLE & DUTIES:_
PERTINENT BIOGRAPHICAL INFORMATION: L; -k /'''5 ;e.s.1~f:1.'\f- ~I ~y~
~e> k~~ ;-c; ~'"\a I E 'C ~"l ~ _~ ~_ :
.
... 17 'I <et ,,'~ ~ 10 CD I ~I I.. I IS- SL...~. v .'IV ~d AA ; fA. l"$'Ira.JrM(J _
~ ~.!. D;r~ci+, ,{ Nt.-l~"""' I Jk;.~;~+ A.JtL.U~~~
II) tf~ P"". b Ltc J.4tJ. I~ ~ ~.....s Ai ~~_, ('~.I.....I4. -r
- I./- 'Irs. AAtLU".i~hrt!f~ ~~ ~c-k) ~-"'-1 ~e..k-I-y A ~Mr'Y.
., (candidate's name) J;'l!;tV'\ J.kjd S , a citizen of the United
StaleS, a doly qualified elector of Monroe oonty, would, if appointed, be willing and able ro discnarge the
r~ponsibmtie5 and functions of a member of the Monroe County Community Health Initiative Taskforce.
2.\ -=it 07-
D^TE
ct'. ~. Il..~
CANDIDATE'S SIGNATURE
03/07/02 18:46 FAX 305+262+9905
HEALTH COUNCIL
_..1
~13
.Jan.24 02 07:00p
KPHA
30529&0827
p....
CANDIDATE FOR NOMINATION TO SER.VE ON THE MONROE COUNTY
HEAlTH INITIATIVE TASKFORCE
NAME: m~ /.." L Wt.. - b..ht:JU-
BUSINESS ADDRESS S9DD C'll J~.(.. 'k>I>Q L
a/ (Street)
..c;..L~ UfLSt; . FL 3.3a10
(City, State Zip Code)
RESIDENCE ADDRESS f! IJ. B. ~ ;5163 TEL: ~
H___ n -- -- 5:~:'f(( ~ 'z~ ~od~46 - ;)5 '-<. fAk_~~__~______ ___
MALE _ FEMALE ~ BLACK _ CAUCASIAN --"-,-LATIN L AGE 60 OR OlDER_
EMPLOYER: ~ Wtr I< c.y s fh t. J...; c.~ CU\-tJ,..r
NATURE OF BUSINESS/PROFESSION: /~S~ 1-4-/
IF CORPORATION, INDICATE TITLE & DUTIES: 1-1 S~ i s.1-4..,,-6 Aim; n ; sft,Liu r
TEl: -Jo5 - all .J-&;31 ,yd; ~lc ~
FAX.:.306 -,dLl 1-~.3'1'
~NENT BIOCRApHICAL l~fORMAnoN' C. V' ().J:L~
.- --.-oJ ~H'..1 .I~""'~/.l(,'~ siL-
I, (GIlld;d...'. name) (h t.q[ UI ~ w'-' - ~ , a dtizen of the United
Scates, a duly qualified electo'f of Dade County, would, if appointed, be willing and able to discharge the
responsibilities and fundions of a member of the Monroe County Community Health Initiative Taskforce. I
declare that I do not serve on another board, agency or advisory group cr and/or funded by the Dade
County Commission.
01 /.~-I JD~
. OA TE
-~~
03/07/02 18:46 FAX 305+262+9905 HEALTH COUNCIL
~14
I .-1\ f...... ,_ . ..... ...... ", ~ C 1 ...."..!.-... ~ ... ,H'
" I "Il,~ '.'" ......, -t4l11lliAli
CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNTY
HEALTH INITIATIVE TASKFORCE
--r;;//-A M/1#sr i r~
NAME:
BUSINESS ADDRESS
TEL:
(Street)
(City, State Zip Code)
RESIDENCE ADDRESS ~ /925 P / /
/ _(Street)
h/fl'///tf) PfrtY/J
, (City, State Zip Code)
MALE .__._nh~E-;;;'~Emj'--~~~~~ ~UCASI~~ -- --_. LA~~~---- ~;~~~-~~~~~~~---------_._-- ___._u
EMPLOYER: ~~y;, ~ d - - -
FAX:
!-1c.NYTEl: 3~- ~ CV(/::J~-~
/ ~6
rip" aYFAX:
NATURE OF BUSINESS/PROFESSION:
IF CORPORATION, INDICATE TITLE & DUTIES:_
,
PERTINENT BIOGRAPHICAL INFORMATION:
I, (candidate's name)
States, a duly qualified
responsibilities and fu
declare that I do not s
County Commission.
/;;p~
/ 1\ TE
A/~c:::7 ~ , a citizen of the United
or of Dade County, would, if appointed, be willing and able to discharge the
i 5 of a member of the Monroe County Community Health Initiative Taskforce. I
e on another board, agency or advisory group creat d/or funded by the Dade
03/07/02 18'.46 F"!
LL 305+262+9905
HEALTH COUNCIL
@15
~ CANDIDATe fOR NO~NA.TlON TO SERVE ON THE MONROE COUNTY
(..... I I . .HEAlTli INITIATIVE TA5Kf9RCE
NAME,~le)12 h-n .Qre..cYla.2lL...
BUSIN~ADDRE5S C\d-DCC Ole.fS-2'^-S JJwy otL, 'i?gg'1~f?95dt
; . (Street) . ~~
; 5a..ve.RJ\,PR-.~L-- ..~t>70 FAX~~(Of?
. (City. 5tate~ode) '. . "l::-/1l4;L.:'~,' ,
.t\ c::.. " . r\.D ~ ,,,, .. c.DM
RESItlEiADORfSS h:;.J(~i.l).s:QA..lJf-.. m.,~~ c..O~
,__u ~c/QJ-V'A~ 1== L.- 3'3p7CM,,~
f (CIty, State ZIp' el .' , . . ----.---.------------__-:-___u_._ -.- -.-.
MAul-FEMALE A'LACK~CAU~II\NVLAlU'!~~E6CiOROi.DE& .
EMPL~tER: Lik.t\()~~~tv\.e- ~€A \~ u..f'L- . " .?
. '. N^mOFB\lSINE5!;1!'RO~,~i5;: rn~=" ;for ~~ ~ ~{J .~ '
'.' '.. e.C1'Cn..r:~~ \'-r:-\~~ .,.. -.~. . . - 'I .3." .' .-' .
. .IF C ., RAT.'ON.I~OICATEnTlE'~IES:, ell ~ ,,::b>~y I'.'Ll1.X;n"'~r:~p:~,\ e.-
...f'i'~n+~ . q?Q..\op.-IO~~' ~\~f\lCD..\ 1 tWdrt'~~~S
~OHQ..\;,..+<Y\~.n.ttte:-:-.~.:i....~~. ..... . .....;~. .-..'.:. -; ..'; :.'"
. " ~ ~... =t' .. '.i~:"::~~.:L' .. .,.'. ,.... .'. ~'
_::.I!ERTI~~~~~L1N' ..' ....~rn(~~~r~{. J~(O~(~0~'l"
" ' . .\,',.'.. \ "~" : 'e'" ; : ' . ::,.'> r~:.:'h'. .'>"j:," :'-.' ....''rt'tU ,;
:/< .'" . {. .. . ':.;: " .',. ',..., ','." > .: ,':.' ':.' .;: '.,'.:,.. >-:::' ; '. 'i,.. ;:.:> ;':,::;Y.' ~. ::> . . > Sf; -:: :
. :...:.~~.,/:;~:.~...~ 'i:>~..-,:.i......(:;).:-:.i:.:
~_:._: .~:a:. "~.. .~ .
:\~..;..-:. '~:_..:~' - .'
:;:'::'~':~_.~~: :.~ ,;'0 .' ......' -~ .. ,':,.-::
. .-' "." . -
BL"IYBJI DOH lINI'IUrI
CS8Z tie SOC rv~ 8C=80 ZOOz/oc/to
Ht:t\LTH COUNCiL
GCU
03/07/02 18:46 FAX 305+262+9905
U.lFU7 ruz TUll 11: ~5 FtU: 305211961511
HEALTH COUNCIL
GCIlK
~17
-_-.!iao~
'..l'............I......... 1...._.,..t ... '. _. .~. ...-~ ....,_....'....;.111.'......'.-'
;'.,1
"'! '101'. I r~ Illll -'''''' ~"i 111\"'11
DAVID P. RICE, Ph.D.
133 MOCKINGBIRD LANE
MARATHON, FLORIDA 33050
(305) 289-6150 BUS
(305) 743-6089 RES
ACADf:M'JC PREPARJ!~TION
:Jh.O. Florida State University, July 1973
Major Field: Clinical PsychoJqJy
Subspecialty: CorMCtional Psychology
M.I~. . Degree U..nM:rs1.b!..of North Car.olina..at-Greensbo-'-1967-- __________ __.______._______
_______u_______.___ -------- Experimental Psychology, Percepti~n
B.S. Degree._ '. L~ui'iana College, 1965
PROFE:SSIONAL AFFILIATIONS
Florida Council hr Community Mental Health
Past Pre !:/dent, 1979-80
President, 1978-79
Presidenl - Eject" 1977-78
Secreta~I', 1978-n ~
Member, 197~Present
~ JTlerican Psych :,Jogfcal Assoaa'ion
~Iorida PSydlolQ.~ica' Aeaociation
(:~,1ncil of Ponce Psychologicat Services
f":lJral Health Net'NOrk
Florida Keys AnI:1 Health Education Center
PROFE!LSIONAL UCEI'ISING AND CERTIFICATION
L 4:Elnaed Psyche iogiat - Florida; Ucense No. 0002537
Cipl'Jmate, 80anr CertifIed Forensic Examiner - American Board of Forensic Examiners
Council for the N ittlonal Regi5ter of Health Service Providers In Psychology;
Cerofica~:No.21003
CON11NI.IING EDUCATION - FORENSIC AND POLICE RELATED
0'1/'i7197
1'li(J3196
Olif14198
Oll'10/95
O~i,t14193
11.'CiW1
~.~!3191
O~i/1 :5191
Ar'lerican Academy of Forensic Psychology - Pe1'8Onal Injury Evaluation:
Ethics. Practice, Instruments and Case law
E).! Movement, Desensitization and Reprocessing (EMOR)
CC1neortium of Police Psychology Services (COPPS)
Pc lice and Public Safety Psychology
Cc naortium of Police PsychOlogy Services (COPPS)
Su 'VIvaI Mindset Conference
ThJ' Clinicaf and Forensic Assessment of Malingering and Deception
Thl! Aftermath of Trauma
1
03/07/02 18:46 FAX 305+262+9905
HEALTH COUNCIL
L _.-.1
@18
03/07/02 TBU 11:38 FAX 30528&6158
GCllK
III 004
,.,'.. , -',1.11..... ._...,. , .....,~
.~.. .. -,. ~.. .... . .". ',-
,- , '114" I J~I' _1'"111"1.. ,'t',. >""'1 '.IiIl1 ,
1}i:j/24190
09/13/89
'.-he New Felltures of the MMPI-2
::xcellence: Staying on the Leading Edge Classification and Treatment 0:
Adolescent and Adult Sex Offenders - Parts I and II
Dilemmas in Application of the Baker Act and Evaluation of
Dangerousness
Gubstanc;e Abuse Treatment Program: A National Demonstration, Part I
Forensic Evaluator Training
Developing and Promoting Comprehensive Mental Health Programa for
Law Enforcement Personnel
Police Psychology
Mock Trials
.1 ury Selection
r:orensfc Neuropsy~C!~}!____. _____ ______ _ __________ _____________ ___________ ___.
- --rfypnosiSforHa6ft Contro.
Wortd Conference of Police Psychology
National Symposium on Policy Psychologica' Services
(;ontrolHng Aggression in the Healthcare Setting
J!, Survival WOr1cshop for the Expert Witness
Hypnosis
()4108189
-101'26/87
()3/15187
()3/14187
O::!f13187
(J.3 '12/87
- -02 (14/86.
, 2.118/85
(>>9l18/84
11l04/82
12:'23178
:12,'25178
PROFESSIONAL EXPIERIENCE
te'73 to Preserr:
Chief E>'ecutive Officer
Guidanc! CHnic afthe Middle Keys. Inc.
3000 411~ street Ocean. Marathon, Florida 33050
This po~iition involves responsIbility for overall supervision of a community menta
health p !ogtam under the direction of a gCMtming Board of Directors. It
encomp.;IS8es both Clinical and administrative responsibility ror program planning
and imp: amentation. Program development and operation involves coordination
of multiJ: e funding and planning sources on both the county and etate level. Thil
position ;i180 involves extensive community organization etrorts directed toward
civic groups, governmental agencies, schools, law enforcement, court systems,
religious organizations, hospitals. etc.
Clinical involvement includes 8 wide range, from provision of staff supervision
and in lSl:rrvice trainings to direct provision of clinical services. Treatment
modalitit!B range from intensive inSight oriented psychotherapy to re-meciation of
specific .::linicar problems by use of hypnosIs or behavior modification.
01976 to Present
Private F~ ractice
Invofvement in private practice is limited to law enforcement consuttlng In the
areas of pre-emptoyment selection and development, as wen 88 psycho-legal
work in the area of fof8llsic psychology.
This incll,Idee consultation to law enforcement agencies, designing and operating
police SE lection and promotion components, as wen as court- related i&&ues
involving expert testimony of a PSychological nature.
IW\OIAIUO ~LI ~wouA Ol lIS bB7\qlOlaa!CVI utIJnw.
bo C6 en. ,&CUOU 8UQ 'blDW~!OU cow~ueUJ8' 92 ~II a ~m~: Uiff9!'KI !22~~ ---.a
poUce se don IInd promotion components, 8S well as court- related fsausa
involving expert teatfmony of a PSychological nature.
2
03/07/02 18:46 FAX 305+262+9905 HEALTH COUNCIL
JR'f-ll-~ 11:0'7 Fisherlnl!n'S Hospital
"" ".
~19
3a5 743 3962 P.B2
CANDIDATE FOR NOMINATION TO SERvE ON THE MONROE COUNlY
HEAlT" INITIATIVE TA.SJCfORCE
NAME: ~,iJ? ~\c.,~
BUSlNESSADOtlESS 3~DI O{44!'S.a.S ~ TE'-'
~..,..,-~ r&:-c... ~ ~D ro FAX:
(City, State Zip Code)
RESIOENCEADORESSi\ 10 ") S---a ~J.v-~~
jk.~~~ pI"
(City I State Zip tode)
MALE v' FEMALE _ BLACK _ CAU~~~__-:-::-= '=.A~ ~_~~~_~.~~.~~!~_ mn__ _ .__________ _____
EMPlO~~~: -- --- ..n~;_~~~ ~ ~ ft bJ .
NATUlE OF 8USINESSlPROFESSION: ",~oJtk C{,;ttI./C- ~~~
IF CORPORATION, INDICATE TITlf & OUTlfS: er~cu~1 i..R ()'1"C" e-J6owL
r 8.h f ~I ~ CI. ~ I'rl e.L".Lt ~ ~ec..{ I ;...... A...~ Ot---'.cJ.,.l.':-
J~ 'k'6~~~ \~~~{.
PERTINENT BIOGRAPHICAlINFORMAT1O~: ~~ ~ A. ~ hCo-./,
.o.~...u.tu .t b.., vt.u. ~ \ 7.:~'> _ ""1:. V n I .<.
ll. ~A /.XA.....~ ~t!. rlev l~ ~ L~~
~ ~ ~k4~~. ~.~ ~~
~ ~t '~eJ.. o--v,~ a..J... ,~
_Q!IHA.Cas. ~ -'1. l~\I\A...... ..~ 6~s. _ -
\
3, "1
~, ~ "1"'"h-3~~1-
v.J~
38u s-o
TEL: ~,s: ;." ~. 'UJU 2-
fAX:
I, (candidate's name) ~~d... ~ , a citizen of the United
States, a duly quallfled eleaor of Dade County, would, if appointBd. be willing and able to disc:harae the
responSibilities and functions eX a member of the Monroe County Community Health Initiative Taslcforce. I
dedare that I do not serve on .nother board, agency or advisory Sroup creared andfor funded by the Dade
CounlyComm;ssIon. ~?
\ - \\ -of'l-
OATE CANDIDATFS SIORATURf _
TOTR... P.1i!I2
~
t.
!
~.
03/07/02 18:46 FAX 305+262+9905
HEALTH COUNCIL
@20
CANDIDATE FOR NOMINATION TO SERVE ON THE MONROE COUNTY
HEALTH INITIATIVE TASKFORCE
NAME:
ROBERT C. "JAKEn RUTHERFORD. M.D., M.P.H.
MONROE COUNTY HEALTH DEPT.
1100 SIMONTON STREET
(Street)
KEY WEST. FL 33040
(City, State Zip Code)
TEL: 305-293-7543
BUSINESS ADDRESS
FAX: 305-292-6872
RESIDENCE ADDRESS
3128 RIVIERA DR.
(Street)
KEY WEST, FL 33040
(City, State Zip Code)
TEL: 305-296-7708
FAX:
- -- ____ ____ _._._____._____._____._.h_.___ _____ ._.___.._..____ ____.__
MALE X FEMALE
BLACK
CAUCASIAN X LATIN
ACE 60 OR OlDER_~
EMPLOYER:
FLORIDA DEPARTMENT OF HEALTH / MONROE COUNTY HEALTH DEPARTMENT
NATURE OF BUSINESS/PROFESSION:
PUBLIC HEALTH
IF CORPORATION, INDICATE TITLE & DUTIES:
PERTINENT BIOGRAPHICAL INFORMATION:
Current Director of the Monroe County Health Department. Board Certified in
Emergency Medicine; Board Eligible in Preventive Medicine; Former Flight Surgeon
Naval Aerospace Medical Institute; Harvard Medical School, M.D.; Univ. of
'Washington B.A. Cum Laude. Phi Beta Kappa; Master in Public Health, Joliu8cHopldns
University.
.~~
I, (candidate's name) Robert C_ "Jake" Rutherford , a citizen of the United
States, a duly qualified electo County, would, if appointed, be willing and able to discharge the
responsibilities and functions of a member of the Monroe County Community Health Initiative Taskforce. I
declare that I do not serve on another board, agency or advisory group created and/or funded by the Dade
County Commission. ~,
t/(~/C~ ~.. ."
etA TE If:~
~
1'"
.,~
.. ....
03/07/02 18:46 FAX 305+262+9905
HEALTH COUNCIL
@21
..- ..--..........
---- - -- - ----. - - - - - -..~..-
CANDIDATE fOR NOMINATION TO SEIIVIi ON THE MON.x COUNlT
HlALnt INI11AlIVE TASDOIIa
NAME:
8\JS11ltESS AOOItESS. SOO
D1-"- Mr ~l?ll!!Ih.""
W~head.St~, Suit~
West, Florida 33040
(City. s.. ZIp Code)
ttESlDfNCEAODftESS 722 Prac50 Circle
esa.o
Bi9 ~~pp~,~.~;~..~{
110.2
-
-,= 305 292-3440
FAX:305 292-3466
Key
TB.:
305 292-9119
.1. '.ll -:tn.4p1 FAX:
. ___________.______.___n__ _..._______.__ _ ___.___ _.____.
MALE _ FEMALE _ 8lADt _ CAIJCA5tAN -L-LAia~-==-ACE 6ifoifOtDOC:a.:..:- - .--. -.--..-- ---
EMPlOYa
Monroe ~P1JJlty
..
NATUltE OF IUSlNfSSIPROFESSION:
LQc~l Govern..n~
If cottIIOIA TION. INDICATI TITLE & DUT1ES.I
PERTINENTBlOCiRAPHlCAl.lNfOIMI\OON:Res1dent of Mone-c. Count:y for 13 y.ara.
Served aa a CO..iesioner Aide for 5 years prior to being elected in Mo...-
ber 2000. The first ear of the four- ear term ba. been ..red tovard*
pe a oper y r 9 e. I am very cone.cft. a ut ~ . .~.t. and
national cutbaeks re: he.lth ..~vice.. I chalr.~ . committe. that 1.
p~~~~D~n9 ~o cn. BUCC a new structure ~o offset the cute and cr.ate a
eore rair and .q~it.ble allocatioft of County funds.
.
Attache4 ia . liat o~ the organizationo to which I belong_ ~h. onea
co.......&.u..d .1,,'" h.al~n an~ nUlDiln ..~vJ.cea are 1.por~.nt to .., ano 1:
am pleased to dedicate my time and effort to th..~.. I vould to the
Be.ILl. !1I11.1.~lvw ;a;..kforc::e.
,~'....-J Dixie PI. SQehaJ:' .ac:itialftaflheUnt_
_ . duly quIIlfied .-.or ~ty, would, If ~. be will... ind ~ ID diId'-.. 1M
~lili_1nd funcUonl 01 a~~ of the MoNoe County Community ......., InlUlliw ridlfQ.ce. I
dedMe ... I do nat .".. on IftOIher board. .."cy Of .M-.wv poup cr..-d andfor tuMed br II... D J Monro
County Ca"u"illian. for
~'6~~_ ~~. ')?J.;!_L_,
~ CANDIDATE'S r~
. .
03/07/02
18:46
".: .<
T/l" d Z.
. ~ ~
FAX 305+262+9905
{, .1:'
" .t.... ':,
'. ~!...' -'....
68S9Z6SSIIET
HEALTH COUNCIL
@22
.........,... -'.
01 wt#BE :811 t&-l.Z-Zl
E896EStSBE
.IallYlIf'f-uqaO
03/07/02 18:46 FAX 305+262+9905 HEALTH COUNCIL
~2/15/2l'JE:l2 17: 19 3E152966337 AHI PAGE 81/B1
'" IH l" :.....,,;11.:1'1 il ~I. ";IlIlfIIlIIo'lII~ ..I....... ~.... '1"I'11d .'1 .....-....-. 1lI1"1111 '-1lllifl~"l" "II.":' !t..~, ., :It'IlIIi.It:..,~If;li~:ti;:~ i':l;ji,itlll' ,t'I'.~1 ..tllII\UI~ "'f!I_~HII:
~23
CANDIDATE FOR NOMINATION TO S~RVE ON THE MONROE COUNTY
HEALTH INITIATIVE TASKfORCE
NAME:~~ c;~ L.J~tkp"
BUSINESS ADDRESS J?(} Ro )( 4~., ~
. (Street) .
-~Q ~ \,,~st-~,
~ity, State Zip e)
RESIDENCE ADDRESS l S~ ~ l.{ +t.. ~..it-- TEL:3os ?.. q 2.. \ S "';L ~
(Street)
n_ __ ___ -_ dS.~~"h~ ' 33 n. "i.D----- _F~~~__ -~-C\.tQ.--Q3-~-"------
----. - - - - ity, St;rte ip ode)
TEL:3os ~q" ~ l -Et,
.33n~FAX:4'~5 2..~~ ~3-Z
MAl~ FEMALE _ 8LACK_ CAUCASIAN~ LATIN ~ AGE.-60 OR OLDER_
EMPLOYER: J:1.-' Ds - \-\t:: ~ u c. . -
NATURE Of BUSINESS/PROFESSION: f\ t &s. ~ V\ C~e.
IF CORPORATION, INDICATE TITLE & DUTIES: t:..\l~r_~.\.J Q..
ELlbs \.\~f 1 \"'C~. -A 5o~
0.,.. ) A.~ 13 i\-:~ t.l
\)-'~f:e&QV- ~
PERTINENT BIOGRAPHICAL INFORM^TtON~ L~ y~ ~ v tv\e.wv"o.... ~~*"\ eo.....- :!. Li- ~~
Keo. --t,.,..~J e.:d. ~ *~ 'r"' '. f(\ :.J.U Q.. Sc.L.~<::. ~ ~ \I' ~ .., c,. ~l
. . -S4~,PhQIY'i.-.ht- 6...g S~~~
S+....v-17e.. J. '";'i~~'-.d ~.~\r-e...~ 1(" A S ~~C'_d:t\...t"
b '. v-Q,.,~ b - 0 ~ 'Pt. \, "t-J ~ 14 oCZ.. , t> J \ tJ c....
\:4. ~~ C5l! u' \J L.J. 0 .v ~ v.. MA2 v- ~ lL !:; _ Iv 0 4.1 ~ \tT\e-t. " tv" do
~Q'" --. ~~-~ ~V'l ~~ ~\r ~ --..'V~Ab-:"..., b 'A..,.cl ~
I, (cand\date's name) Rob --t- Q, _ ~ ...\k:~v' , a citizen of the United
States, a duly qualified elector of Dade County, would,';f appointed, be willing and able to discharge the
responsibilities and functions of a member of the Monroe County Community Health Initiative Taskforce. ,
declare that I do not serve on another board, agency or advisory-group created and/or funded by the Dade
County Commission.
i\~ '5~200:;L
DA E
~LJ~
CANDIDATE'S SIGNATURE
--
-