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011113 Metropolitan Water District Gift to Agency Report A Public Document GIFT TO AGENCY REPORT 1.Agency Name Date Stamp ' • ' • City of Temecula ' Division, Department,or Region (if applicable) For Official Use Only Department of Public Works Street Address 41000 Main Street Temecula, CA 92590 Area Code/Phone Number E-mail ❑ Amendment(explain in comment section) --6411 �greg.butler@cityoftemecula.org Agency Contact(name and title) Date of Original Filing: (month,day,year) Greg Butler 2. Donor Name and Address ❑Individual E10ther MWD—Metropolitan Water District Last Name First Name Name 700 N. Alameda St. Los Angeles CA _ 90012 Address City State Zip Code Regional Water Supplier If"Other'is marked,describe the entity's business activity(if business)or its nature and interests. If applicable, identify the name of each source and the amount(s)solicited or received by the donor for this gift: Name $ Amount Name Amount 3. Payment Information Date and Amount of Payment(otherthan travel) 1/11-12/13 $ 150.00 (month,day,year) (Round to whole dollars) Travel Payment Information(Round to whole dollars) Location of Travel Perris, CA to Parker, AZ (RT) Jan 11,12 Date(s)of Travel Transportation Expenses Lodging Expenses Meal Expenses Other Expenses Total Expenses Provide a specific description of the nature and use of the payment for official agency business: Educational trip to gain better understanding of water supply system serving community and to learn extensive efforts put forth by MWD and other water districts to conserve water. Identify the officials for whom the payment was used: Butler Greg Dir. of Public Works Public Works Last Name First Name Title Department/Division Last Name First Name Title Department/Division 4. Verification [ ve ermin tha r[is n the interests of the agency to accept this gift and use it for the official agency business described above. _ Aaron Adams Interim City Manager 1/23/13 u ofA y Head ort7esignee Print Name Title (month,day,year) Comment: (Use this space or an attachment for any additional information.) FPPC Form 801 (June/08) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)