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qtytooticii-AttillipitiOh <br />page of 3' ciiijsvitie <br />: persbnnel staffing specialists. and other authOrized employees Of-the Ctyof Louisyille;,and releate.all <br />parties for all liability fpr any clarriare that May ,result from furnishing such infOrination . <br />lh the event that I am Selected to serve onihe 'City CoUncil,faree to comply y with OliPrilts Ordidanes, <br />rules, and reiula_tfons: <br />grant full pertrisSiOri to use any PhOto6raphers, videOtaPes, record ingS,or any otherrecOrd'of my <br />volunteer participation as,a City (OUnCil Member. <br />The City will provide any applicantWho iS rejeCted as a result of abaCkgroUnd inVestigatiOri, Won-nation <br />on how to 'obtain the report and contact information for the reporting agency: Determinations to reject <br />, , <br />An applicant asa result pf ihe.crinijnal backgiound investigatiOn report are final. <br />BY SIGNING BELOW:.l'AG5 THAT I UNDERSTAND AND CONSENT TO THE ABOVE STATEMENT: <br />Signature <br />11 1 t. <br />Date <br />20 <br />