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<br /> <br />ADDITION/DELETION FORM FOR AUTHORIZED REPRESENTATIVES <br /> <br />LOCATION NUMBER: 25508 <br /> <br />EFFECTIVE DATE: 12/12/2005 <br /> <br />PARTICIPANT NAME: City of La Porte <br /> <br />PART I: DELETIONS - Please enter the names of the individual(s) to be <br />Representatives. <br /> <br />. as Authorized <br /> <br />PRINTED NAME PRINTED NAME <br /> <br />1. <br /> <br />3. <br /> <br />Inquiry Only Representative* <br /> <br />2. <br /> <br />PART II: ADDITIONS - Please enter the names of the individual(s) to be <br />Representatives. <br /> <br />as Authorized <br /> <br /> <br />Lori Langelier <br /> <br />Accountant <br /> <br />PART III: APPROVALS - Please enter the names of //individuals who are currently Authorized <br />Representatives and who authorize the deletions and additions of the individuals above. <br /> <br /> <br />Cynthia Alexander <br /> <br />Assistant City Manager <br /> <br />Michael Dolby <br /> <br />Assistant Director of Finance <br /> <br />Shelley Wolny <br /> <br />Budget/Investment Officer <br />