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In accordance with Sections 5.82 and 5.83 of the Local Government Act 1995, relevant persons, as prescribed under Section 5.74 of the LGA 1995 are to declare gifts and contributions to travel, in writing, to the Chief Executive Officer within 10 days of receipt.

Form 4

[r. 28A]

Local Government Act 1995

Local Government (Administration) Regulation 1996

REGISTER OF GIFTS AND CONTRIBUTIONS TO TRAVEL

1.         Gifts

            Section 5.82 of the Act

Name of relevant person making disclosure

Description of gift

Name of person who made gift

Address of person who made gift

Date gift was received

Estimated value of gift at time it was made

Nature of relationship between relevant person and person who made gift

Michael Cooke, EHFSO 3 x packs of vegan sausages; 1 x pack vegan mince   Matthew Box c/- Roadhouse, Warburton  20/11/2017  $40  Friend 

Michael Cooke, EHFSO

1 x shitake mushrooms, sliced 40gm  Matthew Box   c/- Roadhouse, Warburton 6/11/2018  $10  Friend - birthday present 

Michael Cooke, EHFSO 

2 x marinated tofu  1 x pack of vegetable patties 1 x loaf of brown rye bread

Anthony Box

 c/- Roadhouse, Warburton

22/10/2018

$24

Friend, leaving community and donated perishables

Kevin Hannagan

ACEO

 

Christmas ham 

 

NATS

 

Welshpool, WA

 

12/12/2018

 

$40

Supplier, ham donated to staff for free raffle

Geoff Handy

FAC

 

Christmas ham

 

NATS

 

Welshpool, WA

 

12/12/2018

 

$40

 

Supplier

 

2.         Contributions to travel

            Section 5.83 of the Act

Name of relevant person making disclosure

Description of contribution

Name of person who made contribution

Address of person who made contribution

Date contribution was received

Estimated value of contribution at time it was made

Nature of relationship between relevant person and person who made contribution

Description of travel

Date of travel

                 
                 

Note: Form blank as no disclosures have been received.