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CITY OF COLLEGE STATION _
City Secretary's Office
Request for Public Information
P.O. Box 9960
College Station, Texas 77842
Email:pubrequest @cstx.gov
Fax: 979- 764 -6377 Phone: 979- 764 -3541
Date of Request: C.13" 1 %
Name: DA010 AN. DE Sa
Address: IOU t4•E• S 5T . / �• Ci'Pt' ptG, 1316`4
Phone # :46- $yo•43'q cx- -1. x{05- X 11$ - 2 510
INFORMATION REQUESTED: Please be specific
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The information you requested for copying or inspecting may be protected information under
the Texas Public Information Act, Government Code, Chapter 552, which may require a
• determination by the Legal Department as to confidentiality prior to its release. If you wish to
receive a copy of the information requested, you will be charged 10 cents per page.
Additional charges may be incurred for non standard copies or information collected on
electronic medium. A deposit or bond shall be required if the estimated charges exceed
$100.00.
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REQUESTOR'S SIGNATURE
DEPARTMENT RESPONSE:
Date Completed f n ' U (I No. of original pages ( 9 - `
Cost Staff member
Additional notes: