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<br />e <br /> <br />e <br /> <br />.' 'qryOFLAPORTB . <br />. TEXAS PuBUC INFORMAnONLAW . <br />OPENRECORDS Ac:r <br /> <br />. . . . ", <br /> <br />Under the. TeXas PUb1i~' Info~on' ~ the Open .R.ecordsAct .es that ~ile' may recluest .'. <br />. inforination tegardiDg I1lUDiclpal employees and Elected/Appointed' Officials CLe.. Dame, ~ .' <br />. . arid' telephone mimber). You. haVe the right to reqUest the' exclusion of ~ intbrmation' <br />contained within yourpersoDDeJ fil~ ~m public a<X".es&. . . .' .', . <br /> <br />'J '. <br /> <br />, . <br />. . <br />You also. have .a' righi to. change your .mind in the~ tutufe' by, co~ the' Fruman'Resources <br />Department (FJected and Appointed,Ofticials need to ~ this form to the CitY Secretarys Office) . <br />of the City o~La Porte. '. . .... . <br /> <br />. . . . . <br />. '. . <br />Note: All request for disclosure of public information are sUbject to 'revieW' of the. City Attorney. . <br />who shall i~a1ly detc;nnine which iDformation is ~bject to privacy exclusions pursuant to the <br />Texas Public Information Act.. .. . . <br /> <br />. -, -'. . . <br />Do you want to,requesttbat certain information Within your personnel file be excl~~ fro~ public <br />access? ' .. '... .... .', '.. . ' ;" , <br /> <br /> <br />. []~>. [~ <br /> <br />, ...... . ,., ( .'. <br /> <br />.:' ::'~v1ClscO.J ,.Jiliz.... <br />Print Name ..' .. <br /> <br /> <br />, . <br />.' - <br /> <br />. .". ," . <br /> <br />. '. <br /> <br />.::. '; <br /> <br />, " <br />. , <br /> <br />..... - ".-. .' ,'-=.' . : . <br />