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2012, Ward I City CounCit City <br />Pag'e 3 of 3 Loutsvtile <br />• <br />00:LORADo q.JSICE <br />Personnel staffing'SPecialktS, and Other authorized employees of the City of Louisville, and release, all ' <br />parties for all liability for any damage that may result from furnishing Such infOrmatioril <br />In the event that I:am selected to serve on the C4'0.)un0j; 1 agree to comply with all of its ordinarkes,. <br />!Ores, and regulatIonS: <br />I grant full perrniSsidn:to use any photographers, videotapes, recordings or any other record of my <br />volunteer partiCipatiOn a a City Cotind Member. <br />The'City will provide any applicant who is rejected as a result of a background investigation.inforrnation <br />on how to obtain the report and contact information for the reporting agency. Determinations to reject <br />ari appliCant as a result Of the Criminal background investiga,tfon report-arefinal, <br />BY SIGNING BELOW, .I AGREE, AT I UNDERSTAND ANbCbNISENT Tb ABOVE STATEMENT: <br />Signa ure <br />Date I <br />17 <br />