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5. Name(s) of Contractor(s) or Vendor(s): <br />6. Description(s) of Contract(s) or Purchase(s) (Describe the kind of contract involved, and <br />the effective date and term of the contract or purchase if reasonably determinable. Dates required <br />if 4(a) is selected above. If "dependent" is involved, provide dependent's name and relationship): <br />7. Description of My Financial Interest (Describe in what manner the public servant or <br />"dependent" expects to derive a profit or financial benefit from, or otherwise has a pecuniary <br />interest in, the above contract(s) or purchase(s); if reasonably determinable, state the <br />approximate dollar value of such profit or benefit.): <br />(Attach extra pages if additional space is needed) <br />8. Approval of Appointing Officer or Body (To be completed if the public servant was <br />appointed by an elected public servant or the board of trustees of a state - supported college or <br />university): <br />I (We) being the <br />('Title of Officer or Name of Governing Body) <br />and having the power to appoint <br />(Name of Governmental Entity) <br />of <br />the above named public servant to the public position to which he or she holds, hereby approve <br />the participation to the appointed disclosing public servant in the above described contract(s) or <br />purchase(s) in which said public servant has a conflict of interest as defined in Indiana Code 35- <br />44-1-3; however, this approval does not waive any objection to any conflict prohibited by statute, <br />rule, or regulation and is not to be construed as a consent to any illegal act. <br />Elected Official Office <br />13 <br />