PUBLIC HEARING REPLY FORM

Persons invited to present testimony at the public hearing on the disbursement of Federal stimulus monies for the Clean Water and Drinking Water State Revolving Funds to be held on December 21, 2009, or who wish to submit written testimony, are requested to complete this reply form as soon as possible and mail, email or fax it to:

Michelle Milot
Principal Legislative Analyst
Assembly Committee on Environmental Conservation
Room 520 - Capitol
Albany, New York 12248
Email: milotm@assembly.state.ny.us
Phone: (518) 455-4363
Fax: (518) 455-5182
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I plan to attend the following public hearing on the disbursement of Federal stimulus monies for the Clean Water and Drinking Water State Revolving Funds to be conducted by the Assembly Committee on Environmental Conservation on December 21, 2009.
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I have been invited to make a public statement at the hearing. My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.
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I will address my remarks to the following subjects:

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I do not plan to attend the above hearing.
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I would like to be added to the Committee mailing list for notices and reports.
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I would like to be removed from the Committee mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:

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